Individual provider Active NPI

Lima Marah, LPN

  • Licensed Practical Nurse
  • West Henrietta, NY
National Provider Identifier
1902573090
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
338219 Issued in NY
Practice address
68 Blaydon Loop
West Henrietta, NY 14586-9804
Phone
(585) 487-6243
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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 338219 NY Primary

Addresses

Primary practice location

68 Blaydon Loop
West Henrietta, NY 14586-9804

Mailing address

68 Blaydon Loop
West Henrietta, NY 14586-9804
Phone (585) 487-6243

Other identifiers 1

IdentifierTypeStateIssuer
NAMedicaidNY

Other names 1

  • Lima Williams Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Medicaid Direct

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
338219NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1902573090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 BLAYDON LOOP",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869804",
            "telephone_number": "585-487-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 BLAYDON LOOP",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869804",
            "telephone_number": "585-487-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAH",
        "first_name": "LIMA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "338219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Medicaid",
            "affiliation": "N",
            "endpointDescription": "Medicaid",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Private",
            "address_1": "68 Blaydon Loop",
            "city": "West Henrietta",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145869804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LIMA",
            "last_name": "WILLIAMS",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.