DANIELLE MARIE JACKSON (NPI# 1063879930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063879930 |
| Entity Type | Individual |
| Full Name | DANIELLE MARIE JACKSON |
| Credential | LPN |
| Practice Address |
4 Hawk Nest Ln Apt 2 Wallkill NY 12589-2630 |
| Practice Telephone | 8455145844 |
| Mailing Telephone | 8455145844 |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2016-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 294175-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112179 | Danielle Caitlin Jackson | Physician Assistant | 1011 Harlan St, Indianapolis, IN 46203-1318 | 2020-04-07 |
| 1295215226 | Danielle Jackson | Student in an Organized Health Care Education/Training Program | 7427 Meadow Run Ct, Mobile, AL 36619-3632 | 2018-08-20 |
| 1578914537 | Danielle Jackson | Case Manager/Care Coordinator | 2088 Carver Dr, Marrero, LA 70072 | 2016-06-30 |
| 1033585831 | Danielle Lawanna Jackson | Registered Nurse | 213 Birkdale Dr, Daytona Beach, FL 32124-2053 | 2015-08-15 |
| 1578906905 | Danielle S Jackson | Psychiatry & Neurology | 446 E Ontario St Ste 200, Chicago, IL 60611-4418 | 2013-04-16 |
| 1033419155 | Danielle Jackson | Physician Assistant | 1845 Satellite Blvd Nw, Duluth, GA 30097-5256 | 2010-10-22 |
| 1841818531 | Danielle Beverly Jackson | Speech-Language Pathologist | 4501 Jackson Rd, Fredericksburg, VA 22407-6706 | 2020-07-08 |
| 1669093431 | Danielle Ashley Jackson | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-02 |
| 1104461730 | Danielle Jackson | Pharmacist | 6181 Us Highway 431, Albertville, AL 35950-2011 | 2019-11-06 |
| 1518436559 | Danielle Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-11-20 |
| Street Address |
4 HAWK NEST LN APT 2 |
| City | WALLKILL |
| State | NY |
| Zip Code | 12589-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761331 | Meghan Anello | Licensed Practical Nurse | 320 Plains Rd, Wallkill, NY 12589 | 2018-02-27 |
| 1568991917 | Elisa Iovieno | Speech-Language Pathologist | 76 Trapps View Farm Road, Wallkill, NY 12589 | 2017-06-08 |
| 1992164354 | Tara A Swenson | Nurse Practitioner | 90 Robinson Drive, Wallkill, NY 12589 | 2016-02-15 |
| 1114390499 | Upstate Ambulatory Service LLC | Non-emergency Medical Transport (VAN) | 13 Buena Vista Ave, Wallkill, NY 12589 | 2015-11-09 |
| 1366780637 | Virginia B. Coleman | Social Worker | 143 Tillson Lake Road, Wallkill, NY 12589 | 2013-01-22 |
| 1659628865 | Jennifer Grogan Deekens | Nurse Practitioner | 24 Old Firehouse Road, Wallkill, NY 12589 | 2012-08-07 |
| 1508011438 | Yvette Aversano | Speech-Language Pathologist | 23 Sofia Ct, Wallkill, NY 12589 | 2008-11-19 |
| 1407007313 | Ivette Mari Carrion-dimarco | Speech-Language Pathologist | 40 Orchard Street, Wallkill, NY 12589 | 2008-10-09 |
| 1821115379 | Peter Chidyllo | Dentist | 46 Wallkill Ave, Wallkill, NY 12589 | 2007-03-22 |
| 1326662008 | Cornerstone Family Healthcare | Clinic/Center | 24 Old Firehouse Road, Wallkill, NY 12589 | 2020-05-29 |
| Find all providers in zip 12589 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual 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. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1558909317 | Jime Thompson | Licensed Practical Nurse | 43 Pressler Rd, Wallkill, NY 12589-2730 | 2019-12-11 |
| 1548761331 | Meghan Anello | Licensed Practical Nurse | 320 Plains Rd, Wallkill, NY 12589 | 2018-02-27 |
| 1184138828 | Sophia Thompson | Licensed Practical Nurse | 269 Freetown Hwy, Wallkill, NY 12589-4261 | 2017-11-16 |
| 1922548999 | Morgan B Bush | Licensed Practical Nurse | 7 Favino Dr, Wallkill, NY 12589-2817 | 2017-02-24 |
| 1154875235 | Gloria Breau | Licensed Practical Nurse | 655 Decker Rd, Wallkill, NY 12589-3349 | 2016-08-07 |
| 1558770347 | Jacqueline Cole | Licensed Practical Nurse | 171 Beecher Hill Rd, Wallkill, NY 12589-3353 | 2014-08-06 |
| 1801052196 | Judith Liouse Wenz | Licensed Practical Nurse | 201 Huckleberry Tpke, Wallkill, NY 12589-2643 | 2008-08-06 |
| 1427262062 | Susanne Leissle | Licensed Practical Nurse | 69 Lake Rd, Wallkill, NY 12589-3311 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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| 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.