Individual provider Active NPI

Olympia Arvanitis Hashem, LPN

  • Licensed Practical Nurse
  • Rochester, NY
National Provider Identifier
1063995942
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
330751 Issued in NY
Practice address
111 Westfall Rd
Rochester, NY 14620-4647
Phone
(585) 753-5147
Fax
(585) 753-5160
NPI assigned
Sep 7, 2018
Last updated
Sep 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 330751 NY Primary

Addresses

Primary practice location

111 Westfall Rd
Rochester, NY 14620-4647

Mailing address

81 Green Moor Way Apt 5
Henrietta, NY 14467-8851
Phone (585) 713-4114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
330751NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1063995942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 GREEN MOOR WAY APT 5",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144678851",
            "telephone_number": "585-713-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WESTFALL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204647",
            "telephone_number": "585-753-5147",
            "fax_number": "585-753-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARVANITIS HASHEM",
        "first_name": "OLYMPIA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "330751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.