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Herute-Amlak Extavour, LPN
NPI 1215318498 · Licensed Practical Nurse · Staten Island, NY
Herute-Amlak Extavour, LPN is a Licensed Practical Nurse provider in Staten Island, NY (NPI 1215318498).
Provider details
- NPI number
- 1215318498
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 315213 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
350 Vanderbilt Ave Apt 6d
Staten Island, NY 10304-3537
Phone: (347) 797-8726
Street-level locationGet directions
Mailing address
350 Vanderbilt Ave Apt 6d
Staten Island, NY 10304-3537
Registry dates
- Enumerated
- 2015-06-14
- Last updated
- 2015-06-14
Frequently asked questions
- What is Herute-Amlak Extavour's NPI number?
- Herute-Amlak Extavour's National Provider Identifier (NPI) is 1215318498, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Herute-Amlak Extavour's specialty?
- Herute-Amlak Extavour is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Herute-Amlak Extavour located?
- Herute-Amlak Extavour's practice location on file with NPPES is 350 Vanderbilt Ave Apt 6d, Staten Island, NY 10304-3537.
- What is Herute-Amlak Extavour's phone number?
- The practice phone number listed in the NPPES registry for Herute-Amlak Extavour is (347) 797-8726.
- Is Herute-Amlak Extavour's NPI active?
- Yes — Herute-Amlak Extavour's NPI (1215318498) is active in the NPPES registry as of the last update on 2015-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.