Agnes J. Banda, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10290319 Issued in NY

Practice address

907 Columbus Pkwy
Buffalo, NY 14213-2111

Phone

(845) 492-6832

NPI assigned

Aug 24, 2011

Last updated

Aug 24, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1982984720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 COLUMBUS PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132111",
            "telephone_number": "845-492-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 COLUMBUS PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132111",
            "telephone_number": "845-492-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDA",
        "first_name": "AGNES",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10290319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Michael Banas
• Michael D Banas, MD
• Danielle Marie Banaszak, RPH
• Tanisa Bancroft-Rivera
• George H Bancroft, MD
• Shahid Mukhtar Banday, MBBS
• Caitlyn Bandelian, PA-C
• Gordon Matthew Bandelian, MSW
• Tonja Lynn Bangel
• Caston Joseph Banham, DO

• Licensed Practical Nurse in Buffalo, NY
• Providers in Buffalo, 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 Aug 24, 2011; 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.