Evelyn D Peguero

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

306587 Issued in NY

Practice address

521 State Route 32
Highland Mills, NY 10930-5133

Phone

(917) 348-9453

NPI assigned

Dec 8, 2022

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

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1871204099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 STATE ROUTE 32",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109305133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 STATE ROUTE 32",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109305133",
            "telephone_number": "917-348-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGUERO",
        "first_name": "EVELYN",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "306587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan M Murphy, COTA
• Simone Liberty O'Donovan, FNP-BC
• Occupational Therapy and Learning Services, PLLC
• Victoria Sarah Pavlovic, L-SLP
• Pediatric OT Solutions
• Sara Pellerin, OTR/L
• Perri Chiropractic, LLC
• Maria A Perri, D.C.,D.A.C.R.B.
• Taylor Piccolo
• Gaspare A Polizzi, MD

• Licensed Practical Nurse in Highland Mills, NY
• Providers in Highland Mills, 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 8, 2022; 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.