Active NPI
Richard Lee Alston III, LPN
- Licensed Practical Nurse
- Rochester, NY
National Provider Identifier
1972129039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 337984
- Practice address
- 1200 Lake Ave Apt 3
Rochester, NY 14613-1269 - Phone
- (585) 642-5871
- NPI assigned
- Jun 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 337984 | NY | Primary |
Addresses
Primary practice location
1200 Lake Ave Apt 3
Rochester, NY 14613-1269
Mailing address
1200 Lake Ave Apt 3
Rochester, NY 14613-1269
Phone (585) 642-5871
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPN | Medicaid | NY | |
| 337984 | Medicaid | NY |
Other names 1
- Mr. Richard Lee Alston III
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 337984 | Direct | |
| CONNECT URL | 337984 | Direct | |
| CONNECT URL | 337984 | Other | |
| CONNECT URL | 337984 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 337984 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1972129039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 LAKE AVE APT 3",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146131269",
"telephone_number": "585-642-5871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 LAKE AVE APT 3",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146131269",
"telephone_number": "585-642-5871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSTON",
"first_name": "RICHARD",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-24",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "337984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LPN",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "337984",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "337984",
"affiliation": "N",
"endpointDescription": "337984",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "337984",
"address_1": "1200 Lake Ave Apt 3",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146131269",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "337984",
"affiliation": "N",
"endpointDescription": "337984",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "337984",
"address_1": "1200 Lake Ave Apt 3",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146131269",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "337984",
"affiliation": "N",
"endpointDescription": "337984",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "337984",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "337984",
"address_1": "1200 Lake Ave Apt 3",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146131269",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "337984",
"affiliation": "N",
"endpointDescription": "1200",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "1200",
"address_1": "1200 Lake Ave Apt 3",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146131269",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RICHARD",
"last_name": "ALSTON",
"middle_name": "LEE",
"prefix": "MR.",
"suffix": "III",
"credential": "LPN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.