AXEN THEODORE (NPI# 1497130223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497130223 |
| Entity Type | Individual |
| Full Name | AXEN THEODORE |
| Practice Address |
3325 Bertha Dr Baldwin NY 11510-5006 |
| Practice Telephone | 3478212582 |
| Mailing Telephone | 3478212582 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 309721 | NY | Nursing Service Providers |
| Street Address |
3325 BERTHA DR |
| City | BALDWIN |
| State | NY |
| Zip Code | 11510-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073998811 | Beverly Tucker-fils | Registered Nurse | 3325 Bertha Dr, Baldwin, NY 11510-5006 | 2015-07-22 |
| 1992180723 | Guerrye Saintidor | Licensed Practical Nurse | 3325 Bertha Dr, Baldwin, NY 11510-5006 | 2015-07-22 |
| 1740665587 | Lusascha Taylor | Licensed Practical Nurse | 3325 Bertha Dr, Baldwin, NY 11510-5006 | 2015-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952810657 | Garfield Patrick | Nurse Practitioner | 2044 Pine Street, Baldwin, NY 11510 | 2017-09-25 |
| 1447794557 | Amanda Rose Marcos | Specialist/Technologist | 2830 Laurel Ave, Baldwin, NY 11510 | 2016-12-08 |
| 1184170896 | Steffany Lissette Martinez | Home Health | 606 Rose Blvd, Baldwin, NY 11510 | 2016-09-01 |
| 1992188429 | Robert Bunstead | Specialist | 2475 Soper Ave., Baldwin, NY 11510 | 2015-07-01 |
| 1376926907 | Hazel Mckain | Registered Nurse | 1011 Alexander Pl, North Baldwin, NY 11510 | 2015-07-01 |
| 1922481605 | Nonie Craige | Social Worker | 2811 Tulip Ave, Baldwin, NY 11510 | 2015-06-30 |
| 1942625058 | Stefanie Scherner | Massage Therapist | 2789 Milburn Ave, Baldwin, NY 11510 | 2014-02-26 |
| 1497090476 | Thelma B Grant | Midwife | 1323 Tanwood Dr., Baldwin, NY 11510 | 2012-12-03 |
| 1366712432 | Maria Carmen Antoine | Psychologist | 3098 Ann St, Baldwin, NY 11510 | 2012-01-06 |
| 1992003818 | Carole Marie Mondesir | Nurse Practitioner | 489 Demott Avenue, Baldwin, NY 11510 | 2011-03-01 |
| Find all providers in zip 11510 | ||||
| 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 |
|---|---|---|---|---|
| 1083232961 | Sandy Sylvain | Licensed Practical Nurse | 3437 Bertha Dr, Baldwin, NY 11510-5029 | 2020-07-08 |
| 1053978759 | Claudye Saint Louis | Licensed Practical Nurse | 56 Oakwood Ct Apt 1-n, Baldwin, NY 11510-1257 | 2019-05-29 |
| 1932670015 | Krystle Elecia Fowlin | Licensed Practical Nurse | 2808 Tulip Ave, Baldwin, NY 11510-4237 | 2018-12-16 |
| 1083111728 | Carol Wallace | Licensed Practical Nurse | 1052 Archer Pl, Baldwin, NY 11510-3604 | 2018-04-10 |
| 1184141095 | Jasmine Manning | Licensed Practical Nurse | 2331 Surrey Ln, Baldwin, NY 11510-3025 | 2017-08-23 |
| 1891216818 | Guiliouse Limprevil | Licensed Practical Nurse | 848 Harbor Cir, Baldwin, NY 11510-4036 | 2017-06-29 |
| 1851835565 | Mark Seymore | Licensed Practical Nurse | 860 Us Highway 90 E, Baldwin, FL 32234-1727 | 2016-12-14 |
| 1386046605 | Jammie Lynn Jacobs | Licensed Practical Nurse | 668 Willow St, Baldwin, WI 54002-4301 | 2014-09-17 |
| 1851723407 | Louise Pierre-louis | Licensed Practical Nurse | 3248 Bertha Dr, Baldwin, NY 11510-5001 | 2013-08-06 |
| 1518221910 | Regine Leogene | Licensed Practical Nurse | 926 Ocean St, Baldwin, NY 11510-4750 | 2012-06-29 |
| Find all providers in BALDWIN | ||||
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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.