Individual provider Active NPI

Lillian Olivo Anazagasty, R.N.

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1265451223
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
237129 Issued in NY
Practice address
781 E 142ND St
Bronx, NY 10454-1723
Phone
(718) 993-1400
Fax
(718) 993-0647
NPI assigned
Jul 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 237129 NY Primary

Addresses

Primary practice location

781 E 142ND St
Bronx, NY 10454-1723

Mailing address

781 E 142ND St
Bronx, NY 10454-1723
Phone (718) 993-1400

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265451223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 E 142ND ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104541723",
            "telephone_number": "718-993-1400",
            "fax_number": "718-993-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 E 142ND ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104541723",
            "telephone_number": "718-993-1400",
            "fax_number": "718-993-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAZAGASTY",
        "first_name": "LILLIAN",
        "middle_name": "OLIVO",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "237129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.