Organization Active NPI

Empowered Living Nursing Services PC

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1700795929
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Sep 3, 2026

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

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.

Verify at the official NPI Registry.