Lace Amber Fuchs

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

311782-1 Issued in NY

Practice address

118 Cranberry Dr
Mastic Beach, NY 11951-5411

Phone

(631) 729-6320

NPI assigned

Jun 2, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Lace Amber Kuhn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1043622574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CRANBERRY DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119515411",
            "telephone_number": "631-729-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CRANBERRY DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119515411",
            "telephone_number": "631-729-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUCHS",
        "first_name": "LACE",
        "middle_name": "AMBER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "311782-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACE",
            "last_name": "KUHN",
            "middle_name": "AMBER",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Fischer, LPN
• Donna Lee Fleming
• Brianna Rose Fonti, M.A.
• Joni Lynn Friedman, OTR/L
• Charles-Anthony Mark Fuchs, LMSW
• Lucille A Gangi, MSED
• Stephanie Marie Giampetruzzi, LPN
• Natalie Beth Gieser
• Andrea Golembeski, LPN
• Holly Lee Gordon, LCSW

• Licensed Practical Nurse in Mastic Beach, NY
• Providers in Mastic Beach, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.