KEVIN PENA (NPI# 1619578788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619578788 |
| Entity Type | Individual |
| Full Name | KEVIN PENA |
| Practice Address |
20 Old Turnpike Rd Ste 307 Nanuet NY 10954-2530 |
| Practice Telephone | 8456240260 |
| Mailing Telephone | 8456240260 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 339737 | NY | Nursing Service Providers |
| Street Address |
20 OLD TURNPIKE RD STE 307 |
| City | NANUET |
| State | NY |
| Zip Code | 10954-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184928582 | Patricia Barnwell | Licensed Practical Nurse | 20 Old Turnpike Rd Ste 307, Nanuet, NY 10954-2530 | 2010-12-29 |
| 1528669694 | Wanda Loving | Licensed Practical Nurse | 20 Old Turnpike Rd Ste 307, Nanuet, NY 10954-2530 | 2020-11-05 |
| 1750980520 | Mary Walsh | Licensed Practical Nurse | 20 Old Turnpike Rd Ste 307, Nanuet, NY 10954-2530 | 2020-10-22 |
| 1023616091 | Kyla Coffey | Registered Nurse | 20 Old Turnpike Rd Ste 307, Nanuet, NY 10954-2530 | 2020-10-13 |
| 1992310213 | Valerie Wemmer | Registered Nurse | 20 Old Turnpike Rd Ste 307, Nanuet, NY 10954-2530 | 2020-09-14 |
| 1083229314 | Laetitia Edmond | Licensed Practical Nurse | 20 Old Turnpike Rd Ste 307, Nanuet, NY 10954-2530 | 2020-09-14 |
| 1972138360 | Kenice Hibbert | Licensed Practical Nurse | 20 Old Turnpike Rd Ste 307, Nanuet, NY 10954-2530 | 2020-03-06 |
| 1578197943 | Mary Czerwinski | Registered Nurse | 20 Old Turnpike Rd Ste 307, Nanuet, NY 10954-2530 | 2020-02-25 |
| 1982236568 | Patti Ogboe | Licensed Practical Nurse | 20 Old Turnpike Rd Ste 307, Nanuet, NY 10954-2530 | 2020-02-11 |
| 1265063317 | Cassondra Velazquez | Licensed Practical Nurse | 20 Old Turnpike Rd Ste 307, Nanuet, NY 10954-2530 | 2020-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042497 | Kh Acupuncture, PC | Acupuncturist | 25 Smith St. Ste 203, Nanuet, NY 10954 | 2020-01-24 |
| 1760953681 | Nisha Zachariah | Nurse Practitioner | 17 Terrace Ave, Nanuet, NY 10954 | 2018-12-17 |
| 1861963068 | Nicole Letizia | Lactation Consultant, Non-RN | 6 Klint Court, Nanuet, NY 10954 | 2018-12-16 |
| 1023502457 | Jessica Basir | Behavioral Analyst | 8 James Court, Nanuet, NY 10954 | 2018-06-19 |
| 1093232811 | Custom Orthopedic Supply LLC | Durable Medical Equipment & Medical Supplies | 100 Lawrence Street, Suite 201, Nanuet, NY 10954 | 2017-08-23 |
| 1164960290 | Saintulia Vicsama | Licensed Practical Nurse | 43 Ewing Ave, Nanuet, NY 10954 | 2017-02-09 |
| 1043755549 | Karen M Hawkins | Registered Nurse | 34 West Nyack Road, St. Anthony's School, Nanuet, NY 10954 | 2016-12-20 |
| 1215488580 | Berdina Boirond | Licensed Practical Nurse | 8 Clark Drive, Nanuet, NY 10954 | 2016-10-20 |
| 1861851032 | Donna Harris | Specialist | 11 Lancaster Ct, Nanuet, NY 10954 | 2016-02-17 |
| 1023484698 | Julie Gonzalez | Registered Nurse | 20 Old Turnpike Road, Suite 307, Nanuet, NY 10954 | 2015-08-18 |
| Find all providers in zip 10954 | ||||
| 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 |
|---|---|---|---|---|
| 1639717143 | Gifty Duah | Licensed Practical Nurse | 26 N Lexow Ave, Nanuet, NY 10954-2610 | 2019-12-16 |
| 1376031047 | Ana Farnham | Licensed Practical Nurse | 20 Old Nyack Tpke, Nanuet, NY 10954-2532 | 2018-04-27 |
| 1417464850 | Ewa K Milshtein | Licensed Practical Nurse | 60 Branchwood Ln, Nanuet, NY 10954-1001 | 2018-01-08 |
| 1518474923 | Alishia Evans | Licensed Practical Nurse | 20 Old Nyack Tpke Ste 307, Nanuet, NY 10954-2530 | 2018-01-08 |
| 1164960290 | Saintulia Vicsama | Licensed Practical Nurse | 43 Ewing Ave, Nanuet, NY 10954 | 2017-02-09 |
| 1215488580 | Berdina Boirond | Licensed Practical Nurse | 8 Clark Drive, Nanuet, NY 10954 | 2016-10-20 |
| 1194271783 | Fabiola Landers | Licensed Practical Nurse | 16 Lynn St, Nanuet, NY 10954-4434 | 2016-09-01 |
| 1972974285 | Diana Leblanc Calice | Licensed Practical Nurse | 68 2nd Ave, Apt C, Nanuet, NY 10954-4405 | 2015-10-13 |
| 1164898813 | Nadege Isidor | Licensed Practical Nurse | 97 Forest Glen Ct, Nanuet, NY 10954-4407 | 2015-08-17 |
| 1083098545 | Philsbert Georges | Licensed Practical Nurse | 20 Old Turnpike Rd Ste 307308, Nanuet, NY 10954-2532 | 2015-07-15 |
| Find all providers in NANUET | ||||
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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.