Alicia Audrey Borggreen, LPN

Key facts

NPI

1922423243

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

3056771 (NY)

Practice address

1772 County Highway 34
Westford, NY 13488-9602

Phone

(607) 353-5742

NPI assigned

Feb 24, 2014

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 24, 2014.

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1922423243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "SCHENEVUS",
            "state": "NY",
            "postal_code": "121550043",
            "telephone_number": "607-353-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 COUNTY HIGHWAY 34",
            "city": "WESTFORD",
            "state": "NY",
            "postal_code": "134889602",
            "telephone_number": "607-353-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGGREEN",
        "first_name": "ALICIA",
        "middle_name": "AUDREY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "3056771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, NY

• Jeong Lee-Farrish

All providers in Westford, NY · Licensed Practical Nurse in New York