Edmond Agyeman, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

311722-1 Issued in NY

Practice address

4 Fairfield Cir
12B
Brentwood, NY 11717-4714

Phone

(631) 835-6864

NPI assigned

Feb 20, 2013

Sex

Male

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": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1477893980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FAIRFIELD CIR",
            "address_2": "12B",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174714",
            "telephone_number": "631-835-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FAIRFIELD CIR",
            "address_2": "12B",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174714",
            "telephone_number": "631-835-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEMAN",
        "first_name": "EDMOND",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-20",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "311722-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyesha Addison
• Jessica Elaine Adelberg
• Rachel Yaa Sarpomaa Adinkra, LPN
• Advanced Rehab Medical Services, P.C.
• Rhina Aguila
• Tara Ahart
• Anahita Kaur Ahuja, D.O.
• Adaora Chioma Akabalu, RN
• Mary Helen Akhuemokhan
• Shelly Akhuemokhan

• Licensed Practical Nurse in Brentwood, NY
• Providers in Brentwood, 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 Aug 2, 2016; 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.