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Aisha Walcott, LPN

Licensed Practical Nurse in Brooklyn, NY. Individual provider (NPI-1).

NPI number1154645950
StatusActive
Last updated in NPPESMay 21, 2010

Details

NPI
1154645950
Entity type
Individual (NPI-1)
Name
Aisha Walcott
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 23, 2010
Last updated
May 21, 2010

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse300243NYYes

Practice location

489 Bainbridge St
Basement
Brooklyn, NY 11233-2010

Phone 347-529-7088

Mailing address

489 Bainbridge St
Basement
Brooklyn, NY 11233-2010

Phone 347-529-7088

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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