NPI Code Detail JSON Logo

1386888089 NPI number — ANGELIQUE GRACE SCOTTO LPN

NPI Number: 1386888089
Health Care Provider/Practitioner: ANGELIQUE GRACE SCOTTO LPN

Information about “1386888089” NPI (ANGELIQUE GRACE SCOTTO LPN) exists in 1386888089 in HTML format HTML  |  1386888089 in plain Text format TXT  |  1386888089 in PDF (Portable Document Format) PDF  |  1386888089 in an XML format XML  formats.

NPI Number : 1386888089 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386888089",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCOTTO",
    "FirstName": "ANGELIQUE",
    "MiddleName": "GRACE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LPN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HLAVAC",
    "OtherFirstName": "ANGELIQUE",
    "OtherMiddleName": "GRACE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LPN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "200 AMOS AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OCEANSIDE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11572-2320",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-705-5784",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "204 SAINT MARKS PL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EAST MEADOW",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11554-1802",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-705-5784",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/24/2009",
    "LastUpdateDate": "11/02/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "164W00000X",
        "TaxonomyName": "Licensed Practical Nurse",
        "LicenseNumber": "243356",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.