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AMANDA MARY BACON LPN
NPI 1053862847
Licensed Practical Nurse in Schenectady, NY

Active since October 17, 2016
304 GLENGARY RD, SCHENECTADY, NY 12304(518) 577-5698 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Mary Bacon Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MARY BACON LPN (NPI 1053862847) is an individual licensed practical nurse in Schenectady, New York, licensed in New York (327227) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1053862847
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameAMANDA MARY BACONCredential: LPN
Location Address304 GLENGARY RDSchenectady, NY 12304-4772
Mailing Address304 Glengary RdSchenectady, NY 12304-4772 · (518) 577-5698
Phone(518) 577-5698
Sole ProprietorYes
Enumeration DateOctober 17, 2016
✔ NPI 1053862847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 327227
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
304 GLENGARY RD, Schenectady, NY 12304
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Bacon's NPI number?

The NPI number for Amanda Bacon is 1053862847. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Amanda Bacon located?

Amanda Bacon practices at 304 Glengary Rd, Schenectady, NY 12304. The listed phone number is (518) 577-5698.

What is Amanda Bacon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Amanda Bacon was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.