LISELLE FREDERICK (NPI# 1023642808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023642808 |
| Entity Type | Individual |
| Full Name | LISELLE FREDERICK |
| Credential | LPN |
| Practice Address |
1160 Hicks Pl North Baldwin NY 11510-1116 |
| Practice Telephone | 5167651449 |
| Mailing Telephone | 5167651449 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
768654-1 | NY | Nursing Service Providers |
| Street Address |
1160 HICKS PL |
| City | NORTH BALDWIN |
| State | NY |
| Zip Code | 11510-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952810657 | Garfield Patrick | Nurse Practitioner | 2044 Pine Street, Baldwin, NY 11510 | 2017-09-25 |
| 1447794557 | Amanda Rose Marcos | Specialist/Technologist | 2830 Laurel Ave, Baldwin, NY 11510 | 2016-12-08 |
| 1184170896 | Steffany Lissette Martinez | Home Health | 606 Rose Blvd, Baldwin, NY 11510 | 2016-09-01 |
| 1992188429 | Robert Bunstead | Specialist | 2475 Soper Ave., Baldwin, NY 11510 | 2015-07-01 |
| 1376926907 | Hazel Mckain | Registered Nurse | 1011 Alexander Pl, North Baldwin, NY 11510 | 2015-07-01 |
| 1922481605 | Nonie Craige | Social Worker | 2811 Tulip Ave, Baldwin, NY 11510 | 2015-06-30 |
| 1942625058 | Stefanie Scherner | Massage Therapist | 2789 Milburn Ave, Baldwin, NY 11510 | 2014-02-26 |
| 1497090476 | Thelma B Grant | Midwife | 1323 Tanwood Dr., Baldwin, NY 11510 | 2012-12-03 |
| 1366712432 | Maria Carmen Antoine | Psychologist | 3098 Ann St, Baldwin, NY 11510 | 2012-01-06 |
| 1992003818 | Carole Marie Mondesir | Nurse Practitioner | 489 Demott Avenue, Baldwin, NY 11510 | 2011-03-01 |
| Find all providers in zip 11510 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568817484 | Suzanne Gabler | Registered Nurse | 1976 Grand Ave, North Baldwin, NY 11510-2813 | 2016-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407661 | Jeffrey June Angeles | Registered Nurse | 8020 Broadway Apt 4m, Elmhurst, NY 11373-3104 | 2020-11-07 |
| 1760083000 | Misterline Marie Parkes | Registered Nurse | 648 E 105th St, Brooklyn, NY 11236-2506 | 2020-11-03 |
| 1790384881 | Sarah Bast | Registered Nurse | 259 Ithaca Rd, Spencer, NY 14883-9370 | 2020-10-20 |
| 1114525797 | Lavern H Simms | Registered Nurse | 207 Long Beach Rd, Hempstead, NY 11550-7314 | 2020-10-15 |
| 1205434453 | Aida Cino | Registered Nurse | 1522 W 1st St Fl 2, Brooklyn, NY 11204-3501 | 2020-10-10 |
| 1902412968 | Elizabeth Jane Harbin | Registered Nurse | 810 Curtis Ave, Staten Island, NY 10310-2611 | 2020-09-16 |
| 1205441946 | Laura Innes | Registered Nurse | 6 Aldar Ct, Cortlandt Manor, NY 10567-1304 | 2020-09-10 |
| 1093329831 | Jael Brooks | Registered Nurse | 647 E 232nd St Apt 3a, Bronx, NY 10466-2923 | 2020-08-31 |
| 1730790106 | Heidi Velasquez | Registered Nurse | 29 Stanley St, Inwood, NY 11096-1513 | 2020-08-11 |
| 1578188835 | Cindy E Perkins | Registered Nurse | 7531 Ct Rt 89, Bath, NY 14810 | 2020-06-12 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BALDWIN |
| Zip Code | 11510 |
Please comment or provide details below to improve the information on LISELLE FREDERICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.