Active NPI
Penpa Lhamo, RN
- Registered Nurse
- Sunnyside, NY
National Provider Identifier
1073855136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 628276
- Practice address
- 4720 40TH St Apt 5J
Sunnyside, NY 11104-4023 - Phone
- (191) 720-7807
- NPI assigned
- Mar 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 628276 | NY | Primary |
Addresses
Primary practice location
4720 40TH St Apt 5J
Sunnyside, NY 11104-4023
Mailing address
4720 40TH St Apt 5J
Sunnyside, NY 11104-4023
Phone (191) 720-7807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SJ21654C | Medicaid | NY |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 628276 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1073855136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 40TH ST APT 5J",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111044023",
"telephone_number": "191-720-7807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 40TH ST APT 5J",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111044023",
"telephone_number": "191-720-7807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LHAMO",
"first_name": "PENPA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-26",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "628276",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SJ21654C",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunnyside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.