Virginia Krawczuk
Individual provider Active NPI Licensed Practical Nurse · Pawling, NY
NPI 1780130302 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1780130302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 10132668 (NY)
- Practice address
- 100 W Main Street
Pawling, NY 12564 - Phone
- (914) 282-0698
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10132668 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 10132668 | NY | Yes |
Addresses
Primary practice location
100 W Main Street
Pawling, NY 12564
Mailing address
100 W Main St
Pawling, NY 12564-1334
Phone (914) 282-0698
NPI Registry JSON
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1780130302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W MAIN ST",
"city": "PAWLING",
"state": "NY",
"postal_code": "125641334",
"telephone_number": "914-282-0698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W MAIN STREET",
"city": "PAWLING",
"state": "NY",
"postal_code": "12564",
"telephone_number": "914-282-0698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAWCZUK",
"first_name": "VIRGINIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "10132668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawling, NY
- Amy Horton Johnson
- James Weston Kellogg
- Caroline Marie Kiernan
- Elizabeth Anne King
- Teresa Konchan
- Cindy Joy Labella
- Laurie Schedgick-Davis, DO
- Patricia Edwards Lee
- Robert George Lieb
- Kenneth Bruce Liegner
All providers in Pawling, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. 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.