Self

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

27300 Issued in NY

Legal business name

SELF

Doing business as

self

Practice address

29 Heberton Rd
Rochester, NY 14622-2405

Phone

(585) 734-2650

NPI assigned

Mar 31, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Andreana H Brown, L

Title

LPN

Phone

(585) 734-2650

Specialties & licenses 1

Addresses

Other names 1

• self Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1861781759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HEBERTON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222405",
            "telephone_number": "585-734-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HEBERTON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222405",
            "telephone_number": "585-734-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANDREANA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "585-734-2650",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "27300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "self",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Caroline Seils, ACNPC-AG
• Robert E Seitz, DMD
• Arjun Sekar, MD
• Sindhu Lakshmi Sekaran
• Jodi Ann Selbig, RPH
• Julie Kathleen Self
• Neil S Seligman, MD
• Brittney Charleen Selim, PMHNP
• Laura Serene Selke, PHD
• David Lee Sell, DO

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, 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 Mar 31, 2011; 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.