Kim Laura Eddington, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

210487-1 Issued in NY

Practice address

9 Richards Ave
Geneva, NY 14456-1632

Phone

(315) 789-1784

NPI assigned

Sep 14, 2009

Last updated

Sep 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1902139660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RICHARDS AVE",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561632",
            "telephone_number": "315-789-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RICHARDS AVE",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561632",
            "telephone_number": "315-789-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDINGTON",
        "first_name": "KIM",
        "middle_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "210487-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Geneva, NY
• Providers in Geneva, 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 Sep 14, 2009; 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.