Rusty Mae Hakes, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

273152-1 Issued in NY

Practice address

88 Tioga Ave
Corning, NY 14830-2858

Phone

(607) 962-0247

NPI assigned

Sep 20, 2011

Last updated

Sep 20, 2011By 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": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1366725095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W HAZEL ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148301936",
            "telephone_number": "607-377-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 TIOGA AVE",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302858",
            "telephone_number": "607-962-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKES",
        "first_name": "RUSTY",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "273152-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guthrie Medical Group, P.C.
• Guthrie Medical Group, P.C.
• Guthrie Medical Group, P.C.
• Guthrie Medical Group, P.C.
• Hanna J. Habash, MD
• Sophia Halassy, MD
• Karen M Hale, FNP
• Alyssa Hall, AGNP-C
• Kathleen A Hallinan, MD, MPH
• Heather Hammond, RN

• Licensed Practical Nurse in Corning, NY
• Providers in Corning, 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 20, 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.