Kristen M Lazzaro, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

295328-1 Issued in NY

Practice address

1150 Morden Blush LN Apt H
Webster, NY 14580-4512

Phone

(585) 943-5724

NPI assigned

Sep 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1104150812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 KLEM RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145804512",
            "telephone_number": "585-943-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MORDEN BLUSH LN APT H",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145804512",
            "telephone_number": "585-943-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZZARO",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "295328",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "295328-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104150812",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Webster",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "846 Klem Rd",
            "city": "Webster",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145808604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Olivia Marie Lawler, MSED. CCC-SLP
• Lawrence J Giangreco D.D.S. and Lawrence J. Giangreco Jr. D.D.S. PC
• Dewey Lawrence Jr., MHC
• Brian R Lawson, DDS
• Marcilene Lazarus
• David Le, MD
• Sandra B Le, RPH
• Erica Leach-Durgan, LPN
• Leap OT, PT & SLP PLLC
• Louise Irene Leclair-Garner, OTR/L

• Licensed Practical Nurse in Webster, NY
• Providers in Webster, 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 Jul 29, 2021; 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.