Active NPI
Reina Maria Archbold, L.P.N.
- Licensed Practical Nurse
- Saint Albans, NY
National Provider Identifier
1154645802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 296088-1
- Practice address
- 11211 196TH St
Saint Albans, NY 11412-2550 - Phone
- (917) 561-4812
- NPI assigned
- Mar 24, 2010
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 296088-1 | NY | Primary |
Addresses
Primary practice location
11211 196TH St
Saint Albans, NY 11412-2550
Mailing address
11211 196TH St
Saint Albans, NY 11412-2550
Phone (917) 561-4812
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
| License | State | Type | Specialty |
|---|---|---|---|
| 296088-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1154645802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11211 196TH ST",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114122550",
"telephone_number": "917-561-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11211 196TH ST",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114122550",
"telephone_number": "917-561-4812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHBOLD",
"first_name": "REINA",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"credential": "L.P.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-24",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "296088-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Albans, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.