Individual provider Active NPI

Nina Lynne Purhenn, LPN

  • Licensed Practical Nurse
  • Syracuse, NY
National Provider Identifier
1558700294
Registry record updated Jun 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
296813 Issued in NY
Practice address
114 Westview Ave
Syracuse, NY 13208-1930
Phone
(315) 350-6046
NPI assigned
Jun 16, 2013
Last updated
Jun 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 296813 NY Primary

Addresses

Primary practice location

114 Westview Ave
Syracuse, NY 13208-1930

Mailing address

114 Westview Ave
Syracuse, NY 13208-1930
Phone (315) 350-6046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
296813NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371340800000",
    "number": "1558700294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WESTVIEW AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132081930",
            "telephone_number": "315-350-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WESTVIEW AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132081930",
            "telephone_number": "315-350-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURHENN",
        "first_name": "NINA",
        "middle_name": "LYNNE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-16",
        "last_updated": "2013-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "296813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2013; 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.