Individual provider Active NPI

Lydia Ester Delgado-Green

  • Licensed Practical Nurse
  • Kingston, NY
National Provider Identifier
1295010726
Registry record updated Oct 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
277575-1 Issued in NY
Practice address
175 Marys Ave
Kingston, NY 12401-5720
Phone
(786) 942-3624
NPI assigned
Oct 16, 2011
Last updated
Oct 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2011

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 277575-1 NY Primary

Addresses

Primary practice location

175 Marys Ave
Kingston, NY 12401-5720

Mailing address

175 Marys Ave
Kingston, NY 12401-5720
Phone (786) 942-3624

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
277575-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318723200000",
    "number": "1295010726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MARYS AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015720",
            "telephone_number": "786-942-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MARYS AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015720",
            "telephone_number": "786-942-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO-GREEN",
        "first_name": "LYDIA",
        "middle_name": "ESTER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-16",
        "last_updated": "2011-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "277575-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2011; 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.