Nancy J Edic, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

289607 Issued in NY

Practice address

4 Garden LN
Whitesboro, NY 13492-2213

Phone

(315) 768-6287

NPI assigned

Dec 6, 2007

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": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1801079496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GARDEN LN",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134922213",
            "telephone_number": "315-768-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GARDEN LN",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134922213",
            "telephone_number": "315-768-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDIC",
        "first_name": "NANCY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "289607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burton Deis, R.PH.
• Adrienne Joy Del Medico, RN
• Stacey Marie Digiorgio, DPT
• Rebecca Dodge
• Sandra Marie Donda
• Elderide Transport Inc.
• Alexander Joseph Eller, NURSE PRACTIONER
• Ann C Ermacor, LPN
• Jorge L Falero, MD
• Donna Farrell, RN

• Licensed Practical Nurse in Whitesboro, NY
• Providers in Whitesboro, 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 6, 2007; 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.