Andrelle Lightbourne

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

622569 Issued in NY

Practice address

182 Evergreen Dr
Westbury, NY 11590-1209

Phone

(516) 338-7620

NPI assigned

Oct 12, 2009

Sex

Female

Sole proprietor

No

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": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1740515519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 EVERGREEN DR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901209",
            "telephone_number": "516-338-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 EVERGREEN DR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901209",
            "telephone_number": "516-338-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTBOURNE",
        "first_name": "ANDRELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "622569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Liang, O.D.
• Marianne Pauline Libretto, L.M.H.C.
• Jody Meryl Lichtman Shankman
• Robert J Licul, D.D.S.
• Lidia Zacharski Nurse Practitioner in Family Health PC
• Lighthouse Medical Rehabilitation P.C.
• Regine Pascale Lilavois, DPT
• Alyssa Krista Lim, RN
• Alexys Lindelof
• Peter Lipinski, DPT

• All providers in Westbury, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.