MRS. JESSIE IPPOLITO (NPI# 1124475587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124475587 |
| Entity Type | Individual |
| Full Name | MRS. JESSIE IPPOLITO |
| Practice Address |
721 Ocean Ave Bohemia NY 11716-3613 |
| Practice Telephone | 5167790049 |
| Mailing Telephone | 5167790049 |
| Mailing Fax Number | 6318030341 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2018-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 325292-1 | NY | Nursing Service Providers |
| Street Address |
721 OCEAN AVE |
| City | BOHEMIA |
| State | NY |
| Zip Code | 11716-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548774631 | Laura M Goldschrafe | Midwife | 4875 Sunrise Hwy Ste 200, Bohemia, NY 11716 | 2017-11-28 |
| 1881141364 | Mas Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Kane Court, Huntington, NY 11716 | 2016-09-01 |
| 1255717252 | Lynne G Slovin | Social Worker | 700 Lakeland Avenue, Ste. 1c, Bohemia, NY 11716 | 2015-08-03 |
| 1194164855 | Michelle Lynn Salz | Midwife | 4875 Sunrise Highway, Bohemia, NY 11716 | 2013-06-17 |
| 1700222411 | Caring Hands | Home Health | 21 Carolyn Ct, Bohemia, NY 11716 | 2013-05-21 |
| 1619210069 | Michael Roche | Counselor | 1650 Syamore Ave, Suite 39, Bohemia, NY 11716 | 2013-04-04 |
| 1063727949 | Diane Alana Dicarlo | Acupuncturist | 638 Ocean Avenue, Bohemia, NY 11716 | 2010-08-16 |
| 1467786632 | Elaina Andersen | Occupational Therapist | 907 Sycamore Avenue, Bohemia, NY 11716 | 2009-09-22 |
| 1356518484 | Kenneth John Grau | Speech-Language Pathologist | 45 Crossways East Rd, Saul &elainne Seiff Educare Center, Bohemia, NY 11716 | 2008-05-08 |
| 1790907574 | Thomas J Riviello | Counselor | 600 Johnson Avenue, Bohemia, NY 11716 | 2007-05-02 |
| Find all providers in zip 11716 | ||||
| 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 |
|---|---|---|---|---|
| 1023659950 | Katrina Temps | Licensed Practical Nurse | 720 Smithtown Ave, Bohemia, NY 11716-4331 | 2019-10-02 |
| 1407330251 | Carolyn Rose Kistinger | Licensed Practical Nurse | 551 Smithtown Ave, Bohemia, NY 11716-4915 | 2018-09-18 |
| 1700397486 | Marissa Lynn Diemidio | Licensed Practical Nurse | 1574 Louis Kossuth Ave, Bohemia, NY 11716-1512 | 2017-10-20 |
| 1952811770 | Marissa Rose Ferry | Licensed Practical Nurse | 780 Smithtown Ave, Bohemia, NY 11716-4332 | 2017-10-06 |
| 1821547902 | Megan Denise Stearns | Licensed Practical Nurse | 830 Walnut Ave, Bohemia, NY 11716-4228 | 2016-09-29 |
| 1629421441 | Annemarie Tocco | Licensed Practical Nurse | 790 Franklyn Ave, Bohemia, NY 11716-4402 | 2016-07-16 |
| 1689026601 | Taylor Sokol | Licensed Practical Nurse | 1173 Smithtown Ave, Bohemia, NY 11716-2131 | 2016-07-02 |
| 1215387410 | Janine Louise Necci | Licensed Practical Nurse | 75 Norman Dr, Bohemia, NY 11716-1321 | 2016-06-17 |
| 1922462472 | Paige Ickes | Licensed Practical Nurse | 932 Pond Rd, Bohemia, NY 11716-3521 | 2016-04-11 |
| 1902234933 | Brooke Noelle Cassidy | Licensed Practical Nurse | 1251 Walnut Ave, Bohemia, NY 11716-2177 | 2013-10-30 |
| Find all providers in BOHEMIA | ||||
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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.