Alvine M Koumpo

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

766290 Issued in NY

Practice address

65 Tweddle Farm LN
Montgomery, NY 12549-2848

Phone

(240) 501-2392

NPI assigned

Oct 21, 2020

Last updated

Oct 21, 2020By 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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1861091845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 TWEDDLE FARM LN",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 TWEDDLE FARM LN",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492848",
            "telephone_number": "240-501-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUMPO",
        "first_name": "ALVINE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "766290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Robert Jennings
• Sonia S John, PHARMD
• Kardiabelle Medical PLLC
• Stephen Kassiotis, LMHC
• Stephanie Kaufmann
• Ashley Ladka
• Joseph Lafasciano, PHARMACIST
• Linda Leahy
• Joyce Marie Lee
• Kerry Anne Lenihan, C.O.T.A

• Registered Nurse in Montgomery, NY
• Providers in Montgomery, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.