Individual provider Active NPI

Ann Deborah Livingston-Gagni

  • Licensed Practical Nurse
  • Rochester, NY
National Provider Identifier
1871751289
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
2577581 Issued in NY
Practice address
158 Nunda Blvd
Rochester, NY 14610
Phone
(585) 473-6731
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2577581 NY Primary

Addresses

Primary practice location

158 Nunda Blvd
Rochester, NY 14610

Mailing address

158 Nunda Blvd
Rochester, NY 14610-2845
Phone (585) 473-6731

Other identifiers 1

IdentifierTypeStateIssuer
02288168MedicaidNY

Other names 1

  • Ann Deborah Livingston-Gangi Former name

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

LicenseStateTypeSpecialty
2577581NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1871751289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 NUNDA BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102845",
            "telephone_number": "585-473-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 NUNDA BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14610",
            "telephone_number": "585-473-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON-GAGNI",
        "first_name": "ANN",
        "middle_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2577581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02288168",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "LIVINGSTON-GANGI",
            "middle_name": "DEBORAH",
            "credential": "PRACTICAL NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.