Angela Y Abbott, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

262689 Issued in NY

Practice address

31 Hyde LN
Coram, NY 11727-3524

Phone

(631) 830-7915

NPI assigned

Sep 20, 2007

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

Other identifiers 1

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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1356537641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117270802",
            "telephone_number": "631-830-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HYDE LN",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273524",
            "telephone_number": "631-830-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "ANGELA",
        "middle_name": "Y",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "262689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02886060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aahil Services
• Nicolette Abbriano
• Ihsan Abdur-Rasheed
• Yasin Ali Abdur-Rasheed, LPN
• Anthony Evan Abruzzo
• Tanya Adams-Tlockowski, M.A. (EDUCATION)

• All providers in Coram, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.