Active NPI
Private Duty Nursing
- Licensed Practical Nurse
- Newburgh, NY
National Provider Identifier
1992911838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 273015
- Legal business name
- PRIVATE DUTY NURSING
- Practice address
- 165 Ann St
Newburgh, NY 12550-5525 - Phone
- (845) 563-0369
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Vanessa Lesane
- Title
- Licensed Practical Nurse
- Phone
- (845) 563-0369
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 273015 | NY | Primary |
Addresses
Primary practice location
165 Ann St
Newburgh, NY 12550-5525
Mailing address
165 Ann St
Newburgh, NY 12550-5525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02637887 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Newburgh, NY
- NPI 1326200403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1992911838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 ANN ST",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 ANN ST",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505525",
"telephone_number": "845-563-0369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIVATE DUTY NURSING",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "LESANE",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
"authorized_official_telephone_number": "845-563-0369",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "273015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02637887",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
- Smruti Prasad, PT
- Reccell Encarre Alibin Pre, M.D.
- Jeanne Marie Price, R.N.
- Leon Priester, CASAC II
- Primavera Physical Therapy PC
- Prosthetic Rehabilitation Center
- George F. Protopapas, MD
- Christiane Pryne, OTR/L
- Psychotherapy and Mediation LCSW P C (none)
- Psyprobill, LLC (Behavioral Health Management Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.