Audra Decker-Prestigiacomo, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10 281348 Issued in NY

Practice address

89 Marian CT
Warwick, NY 10990-4047

Phone

(845) 544-0749

NPI assigned

Oct 28, 2008

Last updated

Sep 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1306099841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MARIAN CT",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904047",
            "telephone_number": "845-544-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MARIAN CT",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904047",
            "telephone_number": "845-544-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER-PRESTIGIACOMO",
        "first_name": "AUDRA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10 281348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Warwick, NY
• Providers in Warwick, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.