Active NPI
Empowered Living Nursing Services PC
- Family Nurse Practitioner
- Modesto, CA
National Provider Identifier
1700795929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- EMPOWERED LIVING NURSING SERVICES PC
- Practice address
- 1916 Boise Ave
Modesto, CA 95358-6948 - Phone
- (864) 980-2134
- Fax
- (209) 758-0952
- NPI assigned
- Sep 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Lake-Akinnuoye, MSN, RN, FNP-C
- Title
- Ceo
- Phone
- (864) 980-2134
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1916 Boise Ave
Modesto, CA 95358-6948
Mailing address
1916 Boise Ave
Modesto, CA 95358-6948
Phone (864) 980-2134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788393600000",
"number": "1700795929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 BOISE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586948",
"telephone_number": "864-980-2134",
"fax_number": "209-758-0952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 BOISE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586948",
"telephone_number": "864-980-2134",
"fax_number": "209-758-0952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERED LIVING NURSING SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "LAKE-AKINNUOYE",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "864-980-2134",
"authorized_official_credential": "MSN, RN, FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
- Jasmine Emerson
- Siona Margaret Emerson
- John Matthew Emery III, M.D.
- Emma Johnson Heart and Mind Therapy
- Employee Assistance Program
- Jennifer Emshoff
- Amanda Enakpoya
- Encompass Health Rehabilitation Hospital of Modesto, LLC (Encompass Health Rehabilitation Hospital of Modesto)
- Clifford K. Endo, DPM
- Jennifer Endsley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.