Individual provider Active NPI

Tanya Parkhurst, LPN

  • Licensed Practical Nurse
  • Fulton, NY
National Provider Identifier
1578891263
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
281088-1 Issued in NY
Practice address
157 W 1St St N
Apt. 2
Fulton, NY 13069-1168
Phone
(315) 591-7573
NPI assigned
Nov 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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 281088-1 NY Primary

Addresses

Primary practice location

157 W 1St St N
Apt. 2
Fulton, NY 13069-1168

Mailing address

157 W 1St St N
Apt. 2
Fulton, NY 13069-1168
Phone (315) 591-7573

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
281088-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1578891263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 W 1ST ST N",
            "address_2": "APT. 2",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691168",
            "telephone_number": "315-591-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 W 1ST ST N",
            "address_2": "APT. 2",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691168",
            "telephone_number": "315-591-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKHURST",
        "first_name": "TANYA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "281088-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.