Angela Addy, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

302296-1 Issued in NY

Practice address

2180 Grand Concourse
Apt. 2F
Bronx, NY 10457-2010

Phone

(347) 759-3606

NPI assigned

Aug 9, 2011

Last updated

Apr 1, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prime Nurturing Home Care LLC

  • Personal Care Attendant
  • Laurel, MD
  • NPI 1932074291
  NPD Authorized official

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1376822361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 GRAND CONCOURSE",
            "address_2": "APT. 2F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572010",
            "telephone_number": "347-759-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 GRAND CONCOURSE",
            "address_2": "APT. 2F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572010",
            "telephone_number": "347-759-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDY",
        "first_name": "ANGELA",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "761239-1",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "302296-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajasekhar V Addepalli, MD
• Patricia Addo-Dombo, LMSW
• Jacqueline Addo-Quaye
• Mavis Addo
• Pearl Addu, RN
• Abigail Yewande Adebayo, MD
• Ayobami Adebayo, MD
• Olubisi Adebayo
• Esther Adedeji
• Olanrewaju Damilola Adedeji

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, 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 Apr 1, 2019; 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.