Pelecia Bordeaux, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

301147 Issued in NY

Practice address

340 Thurston Rd
Rochester, NY 14619

Phone

(585) 317-8431

NPI assigned

Jun 18, 2010

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Oct 15, 2010.

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1386965853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 THURSTON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 THURSTON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14619",
            "telephone_number": "585-317-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEAUX",
        "first_name": "PELECIA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "301147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney E Booth
• Dana Boothe
• Mary C Bopp, RN
• Elisa Boprey, RN
• Judith K Borbas, MD
• Quiana Bordeaux, LPN
• Bobbie J Borden, P.T.A
• John Windsor Borden, MPS, PT
• Rachel Elizabeth Borden, M.D.
• Desirea Border

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.