ALICIA RUSTVOLD LPN
NPI 1982078036
Licensed Practical Nurse in Blue Point, NY

Q: What is Alicia Rustvold's NPI number?

The NPI number for Alicia Rustvold is 1982078036. It was assigned to this individual provider in the NPPES registry on November 30, 2015. The provider is also known as Alicia Johnson Lpn.

Q: What is Alicia Rustvold's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alicia Rustvold was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 30, 2015

84 EATONDALE AVE, BLUE POINT, NY 11715(631) 682-0498 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Alicia Rustvold Lpn NPPES

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

ALICIA RUSTVOLD LPN (NPI 1982078036) is an individual licensed practical nurse in Blue Point, New York, licensed in New York (260421) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1982078036

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameALICIA RUSTVOLDCredential: LPN

Location Address84 EATONDALE AVEBlue Point, NY 11715-1026

Mailing Address84 Eatondale AveBlue Point, NY 11715-1026 · (631) 682-0498

Phone(631) 682-0498

Sole ProprietorYes

Enumeration DateNovember 30, 2015

✔ NPI 1982078036 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 · 260421

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.

84 EATONDALE AVE, Blue Point, NY 11715

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Other Names 1

Former Name (1)Alicia Johnson Lpn

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 Alicia Rustvold's NPI number?

The NPI number for Alicia Rustvold is 1982078036. It was assigned to this individual provider in the NPPES registry on November 30, 2015. The provider is also known as Alicia Johnson Lpn.

Where is Alicia Rustvold located?

Alicia Rustvold practices at 84 Eatondale Ave, Blue Point, NY 11715. The listed phone number is (631) 682-0498.

What is Alicia Rustvold'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 Alicia Rustvold was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.