MS. WANDA SUE NEADOM (NPI# 1225205156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225205156 |
| Entity Type | Individual |
| Full Name | MS. WANDA SUE NEADOM |
| Credential | LPN |
| Practice Address |
241 State Hwy 7 Afton NY 13730 |
| Practice Telephone | 6072426048 |
| Mailing Telephone | 6072426048 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2400741 | NY | Nursing Service Providers |
| Street Address |
241 STATE HWY 7 |
| City | AFTON |
| State | NY |
| Zip Code | 13730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396118683 | Tammy Decker | Licensed Practical Nurse | 28 Maple Street, Afton, NY 13730 | 2015-11-09 |
| 1316237639 | Cecelia B Ventra | Licensed Practical Nurse | 1 Pixley Dr, Afton, NY 13730 | 2011-04-08 |
| 1972087617 | Harper Lee Najarian | Occupational Therapist | 29 Academy Street, Afton, NY 13730 | 2018-09-19 |
| 1851676662 | Jennifer Roberts | Speech-Language Pathologist | 29 Academy Street, Afton, NY 13730 | 2011-10-13 |
| 1215198064 | Carol D. Nightengale | Nurse Practitioner | 29 Academy Street, Afton School, Afton, NY 13730 | 2008-06-24 |
| 1023144128 | Denise Yvonne Burns | Licensed Practical Nurse | 1576 State Highway 41, Afton, NY 13730 | 2007-02-26 |
| 1760666598 | Afton Central School | Local Education Agency (LEA) | 29 Academy Street, Afton, NY 13730-0005 | 2007-12-28 |
| 1598107625 | David James Puglisi | Local Education Agency (LEA) | 29 Academy Street, Afton, NY 13730-0005 | 2013-07-17 |
| 1790328300 | Joseph J Brennan | Nurse Practitioner | 575 State Highway 7, Afton, NY 13730-2109 | 2019-10-26 |
| 1639288822 | Stephen L Dygert, Md | Family Medicine | 25 Evergreen Avenue, Afton, NY 13730-2129 | 2006-08-30 |
| Find all providers in zip 13730 | ||||
| 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 |
|---|---|---|---|---|
| 1396118683 | Tammy Decker | Licensed Practical Nurse | 28 Maple Street, Afton, NY 13730 | 2015-11-09 |
| 1932598232 | Danieal Loren Dailey | Licensed Practical Nurse | 391 Stumptown Rd, Afton, NY 13730-2287 | 2015-01-10 |
| 1497015473 | Jennifer Falsetta | Licensed Practical Nurse | 1576 St. Rt. 41, Afton, NY 13730-3124 | 2012-05-23 |
| 1316237639 | Cecelia B Ventra | Licensed Practical Nurse | 1 Pixley Dr, Afton, NY 13730 | 2011-04-08 |
| 1578607123 | Elizabeth Ann Lanciault | Licensed Practical Nurse | 1576 State Highway 41, Afton, NY 13730-3125 | 2007-02-16 |
| 1114293073 | Jackalyn Carol Morrison | Licensed Practical Nurse | 38 Spring St, Afton, NY 13730-3157 | 2012-03-26 |
| 1043430218 | Donna L Eastin | Licensed Practical Nurse | 138 South Main, Afton, OK 74331 | 2007-04-27 |
| 1023144128 | Denise Yvonne Burns | Licensed Practical Nurse | 1576 State Highway 41, Afton, NY 13730 | 2007-02-26 |
| 1023152410 | Connie Sue Bradley | Licensed Practical Nurse | 1576 State Highway 41, Afton, NY 13730-3125 | 2007-02-18 |
| 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.