THADDEUS HAIRSTON (NPI# 1356756019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356756019 |
| Entity Type | Individual |
| Full Name | THADDEUS HAIRSTON |
| Practice Address |
1015 7th North St Apt A2 Liverpool NY 13088-6138 |
| Practice Telephone | 3154918814 |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2014-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 251862-1 | NY | Nursing Service Providers |
| Street Address |
1015 7TH NORTH ST APT A2 |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-6138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| 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 |
| 1194140889 | Keanah Patterson | Licensed Practical Nurse | 13 Berrywood Rd, Liverpool, NY 13090-2407 | 2014-03-04 |
| 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.