Faith Egenes

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

302370 Issued in NY

Practice address

8 Mayfield St
Valley Cottage, NY 10989-1801

Phone

(845) 821-4172

NPI assigned

Dec 15, 2010

Last updated

Dec 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1720381619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MAYFIELD ST",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109891801",
            "telephone_number": "845-821-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MAYFIELD ST",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109891801",
            "telephone_number": "845-821-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGENES",
        "first_name": "FAITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "302370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa Eisert, LPN
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• Licensed Practical Nurse in Valley Cottage, NY
• Providers in Valley Cottage, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.