LAKEISHA BRISTOW (NPI# 1316581069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316581069 |
| Entity Type | Individual |
| Full Name | LAKEISHA BRISTOW |
| Credential | NP |
| Practice Address |
95 Crystal Run Rd Middletown NY 10941-7001 |
| Mailing Address |
155 Crystal Run Rd Middletown NY 10941-4028 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F309168 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
95 CRYSTAL RUN RD |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-7001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590661 | Karyn F. Robertson | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2005-07-07 |
| 1821600032 | Christina Couto | Occupational Therapist | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-08-19 |
| 1629698717 | Brian P Dudgeon | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-04-20 |
| 1073143145 | Heather Murphy-loucks | Nurse Practitioner | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-01-17 |
| 1447811294 | Julia E. Byman | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2019-06-24 |
| 1396212478 | Megan Staudle | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-10-26 |
| 1568939775 | Logan Z Reisenbigler | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-10-25 |
| 1225515448 | Jaclyn A. Fisher | Nurse Practitioner | 95 Crystal Run Rd, Middletown, NY 10941 | 2018-07-20 |
| 1922596527 | Nefertari Alisha Owens | Obstetrics & Gynecology | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-04-29 |
| 1285168294 | Erick Eichner | Occupational Therapist | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2017-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548822000 | Janice Blake | Nurse Practitioner | 400 Saybrook Rd Ste 214, Middletown, CT 06457-4773 | 2019-07-05 |
| 1740637388 | Glenda Gagante | Nurse Practitioner | 103 Beacon St, Middletown, RI 02842-4805 | 2016-05-23 |
| 1538584255 | Olympia Rian Perna | Nurse Practitioner | 1000 Route 35, Suite 200, Middletown, NJ 07748-2606 | 2014-03-04 |
| 1568682581 | Valli Cohen | Nurse Practitioner | 325 High St, Middletown, CT 06459-3232 | 2007-05-01 |
| 1265550842 | Barbara Dedman | Nurse Practitioner | Davison Health Center 327 High St, Middletown, CT 06459-0001 | 2007-03-26 |
| 1366547358 | Susan M Bordonaro | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842-5237 | 2006-09-14 |
| 1932133881 | Karla Kay Telfer | Nurse Practitioner | 602 N 5th St, Middletown, IN 47356-1008 | 2006-07-10 |
| 1487648812 | Barbara Manco | Nurse Practitioner | Rcwatc, 117 Seward Ave, Suite 12-16, Middletown, NY 10940 | 2005-08-31 |
| 1164428793 | Paula May Rutledge | Nurse Practitioner | 306 E Main St, Middletown, DE 19709-1482 | 2005-06-28 |
| 1336758747 | Kate Elizabeth Garvin | Nurse Practitioner | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2020-07-31 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
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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.