MARYROSE FRIED (NPI# 1598324501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598324501 |
| Entity Type | Individual |
| Full Name | MARYROSE FRIED |
| Credential | LPN |
| Practice Address |
6 Blueberry Ridge Dr Holtsville NY 11742-2549 |
| Practice Telephone | 6316505246 |
| Mailing Telephone | 6316505246 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 154882-1 | NY | Nursing Service Providers |
| Street Address |
6 BLUEBERRY RIDGE DR |
| City | HOLTSVILLE |
| State | NY |
| Zip Code | 11742-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907210 | Brittany Ann Rachuta | Licensed Practical Nurse | 11 Spiral Rd, Holtsville, NY 11742 | 2020-03-16 |
| 1679075089 | Gertha Therese Benoit-hollis | Nurse Practitioner | 5 Fisk Rd, Holtsville, NY 11742 | 2018-03-01 |
| 1437665031 | Amanda Namorato | Speech-Language Pathologist | 1111 Waverly Ave, Holtsville, NY 11742 | 2017-12-18 |
| 1003363656 | Dana Ann Vincent | Registered Nurse | 355 Plad Boulevard, Holtsville, NY 11742 | 2016-09-01 |
| 1992178792 | Fazila Duman | Social Worker | 98 5th Ave, Holtsville, NY 11742 | 2015-11-03 |
| 1659767648 | Suzana X Sula | Licensed Practical Nurse | 263 Blue Point, Long Island, NY 11742 | 2015-04-07 |
| 1366787707 | Rodolfo Diaz Deoquino Sr. | General Practice | 27 Summerfield Drive, Holtsville, NY 11742 | 2012-12-11 |
| 1154441004 | Barbara Ann De Feo | Nurse Practitioner | 107 West Main St., East Islip, NY 11742 | 2007-03-31 |
| 1013051341 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 298 Long Island Avenue, Holtsville, NY 11742 | 2007-02-19 |
| 1093861650 | Jessica Arnoux Speech Therapy | Local Education Agency (LEA) | 18 Glen Hollow Drive F5, Holtsville, NY 11742 | 2007-01-26 |
| Find all providers in zip 11742 | ||||
| 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 |
|---|---|---|---|---|
| 1659907210 | Brittany Ann Rachuta | Licensed Practical Nurse | 11 Spiral Rd, Holtsville, NY 11742 | 2020-03-16 |
| 1780059279 | Sharrell Aaisha Carr | Licensed Practical Nurse | 94 Plad Blvd, Holtsville, NY 11742-2600 | 2015-12-09 |
| 1467825810 | Melissa Audate | Licensed Practical Nurse | 35 Summerfield Dr, Holtsville, NY 11742-2503 | 2015-11-06 |
| 1568841112 | Gina Mitchell | Licensed Practical Nurse | 1 Lindsey Ct, Holtsville, NY 11742-2252 | 2015-05-28 |
| 1801280979 | Tara White | Licensed Practical Nurse | 12 Deerfield Ct, Holtsville, NY 11742-1901 | 2015-03-26 |
| 1114318938 | Christina Calisi | Licensed Practical Nurse | 93 7th Ave, Holtsville, NY 11742-2384 | 2015-02-16 |
| 1053713362 | Tina Marie Giordano | Licensed Practical Nurse | 42 Aster Ave, Holtsville, NY 11742-1742 | 2014-09-17 |
| 1346677689 | Vanessa Ellen Rivera | Licensed Practical Nurse | 21 Glen Hollow Dr, Apt G14, Holtsville, NY 11742-2457 | 2013-10-01 |
| 1225463946 | Jocelyn Janet Mcgerty | Licensed Practical Nurse | 997 Waverly Ave, Holtsville, NY 11742-1136 | 2013-09-12 |
| 1275971541 | Melissa Dawn Loubier | Licensed Practical Nurse | 183 8th Ave, Holtsville, NY 11742-2343 | 2013-06-10 |
| Find all providers in HOLTSVILLE | ||||
| City | HOLTSVILLE |
| Zip Code | 11742 |
Please comment or provide details below to improve the information on MARYROSE FRIED.
| 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.