Individual provider Active NPI

Elizabeth Nalova Ekonde Embola, LPN

  • Licensed Practical Nurse
  • Putnam Valley, NY
National Provider Identifier
1881909307
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
301888-1 Issued in NY
Practice address
11 Birch Hill Rd
Putnam Valley, NY 10579-2603
Phone
(914) 373-0247
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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 301888-1 NY Primary

Addresses

Primary practice location

11 Birch Hill Rd
Putnam Valley, NY 10579-2603

Mailing address

11 Birch Hill Rd
Putnam Valley, NY 10579-2603
Phone (914) 373-0247

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
301888-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1881909307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BIRCH HILL RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105792603",
            "telephone_number": "914-373-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BIRCH HILL RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105792603",
            "telephone_number": "914-373-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKONDE EMBOLA",
        "first_name": "ELIZABETH",
        "middle_name": "NALOVA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "301888-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.