Individual provider Active NPI

Guyslaine Anglade, LPN

  • Licensed Practical Nurse
  • Pomona, NY
National Provider Identifier
1881837409
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
184061-1 Issued in NY
Practice address
104 Richard CT
Pomona, NY 10970-2307
Phone
(845) 784-6820
Fax
(845) 290-5389
NPI assigned
Apr 13, 2009
Last updated
Jan 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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 184061-1 NY Primary

Addresses

Primary practice location

104 Richard CT
Pomona, NY 10970-2307

Mailing address

104 Richard CT
Pomona, NY 10970-2307
Phone (845) 784-6820

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
184061-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1881837409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RICHARD CT",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702307",
            "telephone_number": "845-784-6820",
            "fax_number": "845-290-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RICHARD CT",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702307",
            "telephone_number": "845-784-6820",
            "fax_number": "845-290-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLADE",
        "first_name": "GUYSLAINE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "184061-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.