DALAS TADDEO (NPI# 1598295271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598295271 |
Entity Type | Individual |
Full Name | DALAS TADDEO |
Credential | LPN |
Practice Address |
4490 Express Drive S Ronkonkoma NY 11779 |
Mailing Address |
4490 Express Dr S Ronkonkoma NY 11779-5532 |
Practice Telephone | (718) 578-9719 |
Mailing Telephone | 7185789719 |
Enumeration Date | 2017-06-15 |
Last Update Date | 2017-06-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 231514-1 | NY | Nursing Service Providers |
Street Address |
4490 EXPRESS DRIVE S |
City | RONKONKOMA |
State | NY |
Zip Code | 11779 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
1841694767 | Amanda Arthur | Licensed Practical Nurse | 35 North Washington Ave, Ronkonkoma, NY 11779 | 2014-10-21 |
Find all providers in zip 11779 |
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 |
---|---|---|---|---|
1174137764 | Christa Lafortune | Licensed Practical Nurse | 117 Patchogue Holbrook Rd, Ronkonkoma, NY 11779-5721 | 2020-09-01 |
1922619899 | Amanda Buzzitta | Licensed Practical Nurse | 2352 Louis Kossuth Ave, Ronkonkoma, NY 11779-6325 | 2020-08-13 |
1679088579 | Laura A Mendez | Licensed Practical Nurse | 278 Seminole St, Ronkonkoma, NY 11779-4634 | 2017-12-13 |
1508390873 | Kaitlin Elizabeth Archer | Licensed Practical Nurse | 28 Croydon Ave, Ronkonkoma, NY 11779-1927 | 2017-04-13 |
1588109706 | Diana Arias Pardo | Licensed Practical Nurse | 2487 Motor Pkwy, Ronkonkoma, NY 11779-4923 | 2016-12-23 |
1215471081 | Amanda G Gleason | Licensed Practical Nurse | 2375 Motor Pkwy, Ronkonkoma, NY 11779-4724 | 2016-12-13 |
1497123178 | Natalie Anne Vega | Licensed Practical Nurse | 32 Metzner Rd, Ronkonkoma, NY 11779-2141 | 2015-09-11 |
1124402870 | Gina Maria Misuraca | Licensed Practical Nurse | 4523 Express Dr N, Ronkonkoma, NY 11779-5583 | 2015-07-13 |
1811394232 | Gioconda Brown | Licensed Practical Nurse | 19 3rd Ct, Ronkonkoma, NY 11779-3025 | 2014-12-01 |
1235533191 | Deborah Ann Hampson | Licensed Practical Nurse | 276 Ronkonkoma Ave, Ronkonkoma, NY 11779-5445 | 2014-10-21 |
Find all providers in RONKONKOMA |
City | RONKONKOMA |
Zip Code | 11779 |
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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.