GLORIA JACKSON (NPI# 1356789713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356789713 |
| Entity Type | Individual |
| Full Name | GLORIA JACKSON |
| Credential | LPN |
| Practice Address |
525 S 9th St Lindenhurst NY 11757-4529 |
| Practice Telephone | 6312263901 |
| Mailing Telephone | 6312263901 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 252415 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619371507 | Gloria Jackson | Counselor | 800 N. Rainbow Blvd Suite 215, Las Vegas, NV 89107 | 2014-10-21 |
| 1013035294 | Gloria L Jackson | Nurse Practitioner | 900 Medical Center Dr Ste 200, Sewell, NJ 08080-2358 | 2007-03-27 |
| 1205874369 | Gloria Jackson | Social Worker | 220 W Congress St Fl 2, Detroit, MI 48226-3289 | 2006-06-02 |
| 1639421043 | Gloria J. Jackson | Rehabilitation Practitioner | 3095 E Patrick Ln, Suite 12, Las Vegas, NV 89120-4932 | 2012-10-09 |
| 1245213354 | Gloria J. Jackson | Nurse Practitioner | 9097 Collinsville Rd, Collinsville, MS 39325-9779 | 2005-11-22 |
| 1235123423 | Gloria M Jackson | Family Medicine | 222 Grafton Dr, Grafton, VA 23692-2152 | 2005-09-02 |
| Street Address |
525 S 9TH ST |
| City | LINDENHURST |
| State | NY |
| Zip Code | 11757-4529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013352079 | Gloria Jackson | Skilled Nursing Facility | 525 S 9th St, Lindenhurst, NY 11757-4529 | 2013-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912540758 | Alfred Michael Quiocho | Massage Therapist | Li Premier Physical and Aquatic Therapy, 155 W Sunrise Highway, Lindenhurst, NY 11757 | 2019-10-24 |
| 1407352081 | Bridget Mary Daly | Counselor | 154 N 4th St, Lindenhurst, NY 11757 | 2018-04-03 |
| 1518478494 | Care Choice LLC | Durable Medical Equipment & Medical Supplies | 654d North Wellwood Ave, Suite 317, Lindenhurst, NY 11757 | 2017-10-18 |
| 1700313574 | Priti Patel Physician P.C. | Internal Medicine | 791 North Wellwood Ave, Lindenhurst, NY 11757 | 2017-05-11 |
| 1619401452 | Erika Hawthorne | Specialist | 538 Broadhollow Road West Suite 202, Melville, NY 11757 | 2017-04-19 |
| 1801333778 | Jessica Eberhardt | Speech-Language Pathologist | 345 Pecan Street, Lindenhurst, NY 11757 | 2017-01-30 |
| 1376994749 | Mayerlin Delossantos | Behavioral Analyst | 81 Paine St., Lindenhurst, NY 11757 | 2016-06-28 |
| 1700231842 | Heather Simonson | Social Worker | 131 South Smith Street, Lindenhurst, NY 11757 | 2016-04-26 |
| 1689039513 | Long Island Pediatric Homecare | Home Health | 389 Thirty Third Street, Lindenhurst, NY 11757 | 2015-12-18 |
| 1689055691 | Jennifer Grogan | Specialist | 352 Charles St, Lindenhurst, NY 11757 | 2015-06-16 |
| Find all providers in zip 11757 | ||||
| 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 |
|---|---|---|---|---|
| 1275004574 | Nadja R Parker | Licensed Practical Nurse | 95 W Lido Promenade, Lindenhurst, NY 11757-6612 | 2018-12-12 |
| 1336639988 | Veronica Sessa | Licensed Practical Nurse | 428 Granada Pkwy, Lindenhurst, NY 11757-6313 | 2018-05-18 |
| 1689101222 | Sandra Lee Novotny | Licensed Practical Nurse | 127 N Indiana Ave, Lindenhurst, NY 11757-4126 | 2017-05-14 |
| 1043742638 | Joanne M Schmidt Delgado | Licensed Practical Nurse | 493 Albany Ave, Lindenhurst, NY 11757-2722 | 2017-04-01 |
| 1518314384 | Shavon Saunders | Licensed Practical Nurse | 5 E Hoffman Ave Apt 6, Lindenhurst, NY 11757-5050 | 2016-05-20 |
| 1922479427 | Shannon Burnham | Licensed Practical Nurse | 525 Beacon Ave, Lindenhurst, NY 11757-5329 | 2015-10-09 |
| 1235508995 | Mae-an Lanas | Licensed Practical Nurse | 480 S 5th St, Lindenhurst, NY 11757-4625 | 2015-09-23 |
| 1528436037 | Ursula Teaster | Licensed Practical Nurse | 360 N 5th St, Lindenhurst, NY 11757-3333 | 2015-09-14 |
| 1285048736 | Robert M Zatkowski Jr. | Licensed Practical Nurse | 29 Linden St, Lindenhurst, NY 11757-5702 | 2014-06-12 |
| 1093151870 | Joan M Clyne | Licensed Practical Nurse | 155 S Clinton Ave, Lindenhurst, NY 11757-5121 | 2013-05-20 |
| Find all providers in LINDENHURST | ||||
| City | LINDENHURST |
| Zip Code | 11757 |
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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.