DEBORAH DRAKE (NPI# 1336513142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336513142 |
| Entity Type | Individual |
| Full Name | DEBORAH DRAKE |
| Other Name | DEBORAH DRAKE |
| Credential | CASAC |
| Practice Address |
80 Sharron Ave Plattsburgh NY 12901-4700 |
| Mailing Address |
79 Glenridge Rd Glenville NY 12302-4523 |
| Practice Telephone | 5185611447 |
| Practice Fax Number | 5185628812 |
| Mailing Telephone | 5189528408 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2016-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 093497 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01420800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326146549 | Deborah Marie Drake | Nurse Anesthetist, Certified Registered | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-09-20 |
| Street Address |
80 SHARRON AVE |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346296720 | Conifer Park, Inc. | Clinic/Center | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2006-05-26 |
| 1619577533 | Sydney Sturgen | Registered Nurse | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2020-10-29 |
| 1649881053 | Nicole Bordeau | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2020-08-11 |
| 1003439001 | Katrina Lopez | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2020-05-26 |
| 1164051066 | James Perales | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2020-04-03 |
| 1538705678 | Carlee Agoney | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-11-25 |
| 1982249173 | Marlene Holmes | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-11-12 |
| 1437703162 | Lee Ann Malseptic | Registered Nurse | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-07-31 |
| 1407409592 | Chad Michael Rollings | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-07-18 |
| 1033778139 | Patrick Mccormick | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| 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 |
|---|---|---|---|---|
| 1427664903 | Claire N Martin | Licensed Practical Nurse | 13 Set Pt, Plattsburgh, NY 12901-1769 | 2020-09-19 |
| 1346856820 | Jungjin Lee Choe | Licensed Practical Nurse | 19 Crescent Dr, Plattsburgh, NY 12901-1344 | 2020-09-19 |
| 1437658051 | Hope Edie-provost | Licensed Practical Nurse | 20 Hillcrest Ave, Plattsburgh, NY 12901-2541 | 2018-02-09 |
| 1174047583 | April Starr Gonyo | Licensed Practical Nurse | 59 Honey Dr, Plattsburgh, NY 12901-6345 | 2017-07-27 |
| 1235678798 | Tammy Collins | Licensed Practical Nurse | 35 Cross Rd, Plattsburgh, NY 12901-7409 | 2017-02-16 |
| 1689061012 | Lori Brandmeier | Licensed Practical Nurse | 22 Oval Suite 218, Plattsburgh, NY 12903 | 2015-04-23 |
| 1144658238 | Carlee Griggs | Licensed Practical Nurse | 9 Bridge St Apt 6, Plattsburgh, NY 12901-3461 | 2013-10-28 |
| 1023445368 | Katie Rostak | Licensed Practical Nurse | 4951 S Catherine St, Plattsburgh, NY 12901-3668 | 2013-10-01 |
| 1659707537 | Terrianna Amina Brumfield | Licensed Practical Nurse | 11 Gary Way, Plattsburgh, NY 12901-6244 | 2013-09-23 |
| 1578814000 | Sabrina Lynn Bull | Licensed Practical Nurse | 31 Hamilton St, Plattsburgh, NY 12901-3008 | 2012-09-24 |
| Find all providers in PLATTSBURGH | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
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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.