MS. LACI NICOLE COOK (NPI# 1073906749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073906749 |
| Entity Type | Individual |
| Full Name | MS. LACI NICOLE COOK |
| Credential | CPNP |
| Practice Address |
270 Union Ave Holbrook NY 11741-1823 |
| Mailing Address |
91 Beech St Lake Grove NY 11755-3145 |
| Practice Telephone | 6315884442 |
| Mailing Telephone | 9177485073 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20142655 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
270 UNION AVE |
| City | HOLBROOK |
| State | NY |
| Zip Code | 11741-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265547780 | Jason Kronberg | Pediatrics | 270 Union Ave, Holbrook, NY 11741-1823 | 2006-08-21 |
| 1992340871 | Victoria Dennis | Nurse Practitioner | 270 Union Ave, Holbrook, NY 11741-1823 | 2019-11-14 |
| 1639325285 | Katarzyna Klek | Pediatrics | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-08-14 |
| 1083877948 | Freed, Scherz, Kleinberg, Nussbaum & Festa, Md, LLP | Legal Medicine | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-07-09 |
| 1790959302 | Tina Marie Lafemina | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-15 |
| 1508039520 | Jeanne Marie Schaefer | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-10 |
| 1578736591 | Laura Mcdowell | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-10 |
| 1366615395 | Patricia J. Sondgeroth | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-10 |
| 1871766808 | Michele M Welch | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-10 |
| 1194998203 | Barbara Loretta Kolk-seda | Physician Assistant | 270 Union Ave, Holbrook, NY 11741-1823 | 2008-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1437630258 | Church Street Acupuncture Pllc | Acupuncturist | 1720 Church St, Holbrook, NY 11741 | 2018-08-29 |
| 1780191288 | Mid-island Speech Language Pathology, Pllc | Speech-Language Pathologist | 24 Donald Street, Holbrook, NY 11741 | 2018-01-05 |
| 1871013177 | Melissa Blom | Massage Therapist | 19 Charles Ave, Holbrook, NY 11741 | 2017-06-27 |
| 1215392329 | Laura Glotzer | Registered Nurse | 812 Greenbelt Pkwy W, Holbrook, NY 11741 | 2015-12-17 |
| 1437524758 | Shakim Rivera | Licensed Practical Nurse | 445 Furrows Road, Box 443, Holbrook, NY 11741 | 2015-12-11 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1003298233 | Eileen M Murphy | Early Intervention Provider Agency | 1606 Grundy Avenue, Holbrook, NY 11741 | 2015-06-24 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1396173258 | Valerie Guidone | Registered Nurse | 24 Gainsborough Rd, Holbrook, NY 11741 | 2013-10-30 |
| Find all providers in zip 11741 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598138695 | Cristina Farrell | Nurse Practitioner | 8 All Points Dr, Holbrook, NY 11741-1302 | 2015-11-11 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1326346354 | Helene E. D'agostino | Nurse Practitioner | 79 Sequoia Way, Holbrook, NY 11741-5606 | 2011-02-28 |
| 1992340871 | Victoria Dennis | Nurse Practitioner | 270 Union Ave, Holbrook, NY 11741-1823 | 2019-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
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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.