Vinita Abbott
Individual provider Active NPI Licensed Practical Nurse · Poughkeepsie, NY
NPI 1700312980 · NPPES record last updated May 5, 2017
Key facts
- NPI
- 1700312980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 252697 (NY)
- Practice address
- 122 Thompson St
Poughkeepsie, NY 12601-2621 - Phone
- (845) 337-9652
- NPI assigned
- May 5, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 252697 | NY | Yes |
Addresses
Primary practice location
122 Thompson St
Poughkeepsie, NY 12601-2621
Mailing address
122 Thompson St
Poughkeepsie, NY 12601-2621
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.