Individual provider Active NPI

Assana Sangare, LPN

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1275383663
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
333075-01 Issued in NY
Practice address
772 E 233Rd St
Bronx, NY 10466-3172
Phone
(347) 843-0444
Fax
(347) 843-0446
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 333075-01 NY Primary

Addresses

Primary practice location

772 E 233Rd St
Bronx, NY 10466-3172

Mailing address

1090 Franklin Ave Apt 6a
Bronx, NY 10456-6937
Phone (646) 239-3342

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
333075-01NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Promise Home Care Agency Inc. PastSince Mar 31, 2024 Accepting new patients
Promise Home Care Agency, Inc PastSince Mar 31, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1275383663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 FRANKLIN AVE APT 6A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104566937",
            "telephone_number": "646-239-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 E 233RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104663172",
            "telephone_number": "347-843-0444",
            "fax_number": "347-843-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGARE",
        "first_name": "ASSANA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "333075-01",
            "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 Mar 26, 2024; 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.