Lyneah Tart, LPN
Individual provider Active NPI Licensed Practical Nurse · E Kingston, NY
NPI 1073789566 · NPPES record last updated May 13, 2008
Key facts
- NPI
- 1073789566
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 272607-1 (NY)
- Practice address
- 147 John St Apt 1
E Kingston, NY 12401 - Phone
- (845) 706-2078
- Fax
- (845) 336-8848
- NPI assigned
- May 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN 5162685 | FL | MD | Licensed Practical Nurse |
| 272607-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 272607-1 | NY | Yes |
| Licensed Practical Nurse | 164W00000X | PN 5162685 | FL |
Addresses
Primary practice location
147 John St Apt 1
E Kingston, NY 12401
Mailing address
147 John St Apt 1
E Kingston, NY 12401
Phone (845) 706-2078
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.