KIMBERLY JOY NICKEY (NPI# 1063716736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063716736 |
| Entity Type | Individual |
| Full Name | KIMBERLY JOY NICKEY |
| Credential | R.N. |
| Practice Address |
162 N Country Rd Port Jefferson NY 11777-2120 |
| Practice Telephone | 6318288013 |
| Mailing Telephone | 6318288013 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 634894-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 634894-1 | 05 |
| Street Address |
162 N COUNTRY RD |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507682 | Stephanie Claire Stasik | Registered Nurse | 7 Puritan Path, Port Jefferson, NY 11777-1411 | 2020-10-30 |
| 1427612050 | Katelin L Elenterio | Registered Nurse | 70 N Country Rd Ste 201, Port Jefferson, NY 11777-2161 | 2019-04-29 |
| 1275046468 | Joann Ruggiero | Registered Nurse | 25 Landing Ln, Port Jefferson, NY 11777-1106 | 2017-11-09 |
| 1013315936 | Bea Paladino Sussman | Registered Nurse | 232 Windward Ct N, Port Jefferson, NY 11777-2321 | 2014-12-09 |
| 1255677480 | Domenica Corrado | Registered Nurse | Mather Hospital, 75 N Country Road, Port Jefferson, NY 11777 | 2012-12-16 |
| 1265752471 | William Alton Edel | Registered Nurse | 1 Dark Hollow Rd, Apt. 4a, Port Jefferson, NY 11777-2049 | 2010-06-10 |
| 1881910933 | Claudette Steele Pike | Registered Nurse | 116 Thompson St Apt A, Port Jefferson, NY 11777-1883 | 2010-04-14 |
| 1174763734 | Ruth Liliana Castillo De Guzman | Registered Nurse | 37 Pinnacle Dr, Port Jefferson, NY 11777-2085 | 2009-02-23 |
| 1740463256 | Jacqueline T Loehr | Registered Nurse | 209 Owasco Dr, Port Jefferson, NY 11777-1617 | 2007-12-07 |
| 1083893325 | Tina Jann Murray | Registered Nurse | 104 Alice St, Port Jefferson, NY 11777-2006 | 2007-11-02 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on KIMBERLY JOY NICKEY.
| 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.