KEANAH PATTERSON (NPI# 1194140889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194140889 |
| Entity Type | Individual |
| Full Name | KEANAH PATTERSON |
| Credential | LPN |
| Practice Address |
13 Berrywood Rd Liverpool NY 13090-2407 |
| Practice Telephone | 3157279460 |
| Mailing Telephone | 3157279460 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 258287-1 | NY | Nursing Service Providers |
| Street Address |
13 BERRYWOOD RD |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13090-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214821 | Kerry Prunotto Dal | Dietitian, Registered | 8403 Sugar Pine Circle, Liverpool, NY 13090 | 2020-08-05 |
| 1619536596 | Victoria Angela Didomenico | Licensed Practical Nurse | 4364 Princess Path, Liverpool, NY 13090 | 2019-06-13 |
| 1063987386 | Alison Fasano | Massage Therapist | 4205 Long Branch Rd., Clay Chiropractic/athlonmt/ste.3, Liverpool, NY 13090 | 2018-10-13 |
| 1275028540 | Alexis Marie Degennaro | Speech-Language Pathologist | 7672 Mountain Ash, Liverpool, NY 13090 | 2018-06-28 |
| 1164891560 | Lyndsey Noel Martin | Nurse Practitioner | 7953 Orion Path, Liverpool, NY 13090 | 2015-09-16 |
| 1326423765 | Mary Beth Witte | Occupational Therapist | 3774 State Route 31, Apt 1508, Liverpool, NY 13090 | 2015-07-28 |
| 1801274808 | Heather C Eldredge | Contractor | 104 Eagles Pointe Circle, Liverpool, NY 13090 | 2015-05-11 |
| 1881084861 | Brian Tarolli | Massage Therapist | 7960 Oswego Road, Liverpool, NY 13090 | 2015-01-29 |
| 1164825469 | Tara Hilmanowski | Nurse Practitioner | 7375 Oswego Rd Ste 1, Liverpool, NY 13090 | 2014-09-30 |
| 1609280452 | Samantha Whittemore | Registered Nurse | 7815 Anadale Lane, Liverpool, NY 13090 | 2014-06-19 |
| Find all providers in zip 13090 | ||||
| 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 |
|---|---|---|---|---|
| 1619536596 | Victoria Angela Didomenico | Licensed Practical Nurse | 4364 Princess Path, Liverpool, NY 13090 | 2019-06-13 |
| 1255854170 | Jeffrey Michael Emlaw | Licensed Practical Nurse | 1401 Clayton Manor Dr Apt 12, Liverpool, NY 13088-5372 | 2017-07-23 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1932642485 | Lisa N Sherman | Licensed Practical Nurse | 24 Hopkins Rd Apt 5, Liverpool, NY 13088-5746 | 2016-11-30 |
| 1831543677 | Kristie Rowe | Licensed Practical Nurse | 4244 Altair Crse, Liverpool, NY 13090-2232 | 2016-04-18 |
| 1902274590 | Anne Marie Wellenzohn | Licensed Practical Nurse | 307 Old Cove Rd, Liverpool, NY 13090-3743 | 2015-09-13 |
| 1922476803 | Frank Rosanio | Licensed Practical Nurse | 404 Kings Pk Dr Apt C, Liverpool, NY 13090-2765 | 2015-09-09 |
| 1679961858 | Jennifer Hart | Licensed Practical Nurse | 107 Jewell Dr, Liverpool, NY 13088-5419 | 2014-12-22 |
| 1093110678 | Mark A Relyea | Licensed Practical Nurse | 8145 Oldbury Rd, Liverpool, NY 13090-1601 | 2014-10-25 |
| 1356756019 | Thaddeus Hairston | Licensed Practical Nurse | 1015 7th North St Apt A2, Liverpool, NY 13088-6138 | 2014-06-21 |
| Find all providers in LIVERPOOL | ||||
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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.