Individual provider Active NPI

Ann Sienkiewicz, LPN

  • Licensed Practical Nurse
  • Salt Point, NY
National Provider Identifier
1235895285
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
286799-01 Issued in NY
Practice address
20 Mollys Way
Salt Point, NY 12578-3109
Phone
(845) 266-9050
NPI assigned
Nov 15, 2021
Sex
Female
Sole proprietor
No

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
286799-01NYMDLicensed Practical Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 286799-01 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

20 Mollys Way
Salt Point, NY 12578-3109

Mailing address

200 Salt Point Tpke
Poughkeepsie, NY 12603-1018
Phone (845) 454-2000

Other names 1

NPPES NPI Registry
  • Ann Kustas Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2021.

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1235895285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SALT POINT TPKE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031018",
            "telephone_number": "845-454-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MOLLYS WAY",
            "city": "SALT POINT",
            "state": "NY",
            "postal_code": "125783109",
            "telephone_number": "845-266-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIENKIEWICZ",
        "first_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "286799-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "KUSTAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salt Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.