Adam Cornell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10-304704 Issued in NY

Practice address

8701 Route 5
Westfield, NY 14787-9786

Phone

(716) 868-3327

NPI assigned

Aug 20, 2015

Last updated

Aug 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Adam David Cornell Professional name

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1316313745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 ROUTE 5",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "147879786",
            "telephone_number": "716-868-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 ROUTE 5",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "147879786",
            "telephone_number": "716-868-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "ADAM",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10-304704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADAM",
            "last_name": "CORNELL",
            "middle_name": "DAVID",
            "prefix": "MR.",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amy Clute
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• Sarah Michelle Cook, PA
• Diane Christine Cornell McCoy, OD
• CVS Albany, L.L.C. (CVS Pharmacy #05075)
• Kaitlyn Mackenzie Dahl
• Jacob Tyler Damcott, DPT
• Ruth Ann Reed Dougan, RN
• Gary Eugene Eggleston, MD

• Licensed Practical Nurse in Westfield, NY
• Providers in Westfield, 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 Aug 20, 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.