Active NPI
Anita Liewa, LPN
- Licensed Practical Nurse
- Monticello, NY
National Provider Identifier
1780459321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 246525-01
- Practice address
- 14 Bushnell Ave
Monticello, NY 12701 - Phone
- (845) 397-7101
- Fax
- (845) 428-7815
- NPI assigned
- Nov 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 246525-01 | NY | Primary |
Addresses
Primary practice location
14 Bushnell Ave
Monticello, NY 12701
Mailing address
121 Apple Hill Rd
Hurley, NY 12443-5304
Phone (845) 338-5446
Other practice location 1
26 Hamilton Ave Ste 2
Monticello, NY 12701-1378
Phone (845) 397-7101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246525-01 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1780459321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 APPLE HILL RD",
"city": "HURLEY",
"state": "NY",
"postal_code": "124435304",
"telephone_number": "845-338-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 BUSHNELL AVE",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "12701",
"telephone_number": "845-397-7101",
"fax_number": "845-428-7815"
}
],
"practiceLocations": [
{
"address_1": "26 Hamilton Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Monticello",
"state": "NY",
"postal_code": "127011378",
"country_code": "US",
"telephone_number": "845-397-7101",
"fax_number": "845-428-7815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIEWA",
"first_name": "ANITA",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-22",
"last_updated": "2023-11-22",
"certification_date": "2023-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "246525-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.