Lavita S Grubbs

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

327552 Issued in NY

Practice address

34 Highgrove Dr
Washingtonville, NY 10992-1172

Phone

(516) 660-7671

NPI assigned

May 19, 2022

Sex

Female

Sole proprietor

No

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": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1396482436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HIGHGROVE DR",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921172",
            "telephone_number": "516-660-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HIGHGROVE DR",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921172",
            "telephone_number": "516-660-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBBS",
        "first_name": "LAVITA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "327552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Bliss Glover, OTR/L
• Jeffrey Goldman, P.T.
• Melissa Grant
• Sharifa H Grant
• Ira Green, RPH
• Delisa Ashley Harper
• Mohammed Zafar Iqbal, RPH
• Jahanara Reza MD PC
• Jilly's Place
• Jillys Place Inc

• Licensed Practical Nurse in Washingtonville, NY
• Providers in Washingtonville, 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 May 19, 2022; 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.