JESSICA N MADRID (NPI# 1669826707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669826707 |
| Entity Type | Individual |
| Full Name | JESSICA N MADRID |
| Practice Address |
504 Merrick Rd Apt 3g Lynbrook NY 11563-2304 |
| Practice Telephone | 5167540430 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2017-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 059483-1 | NY | Dental Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557485 | Jessica M Madrid | Nurse Practitioner | 103 Medicine Way Road, Peridot, AZ 85542 | 2018-05-07 |
| 1891170403 | Jessica Estrada Madrid | Counselor | 940 Avenue 64, Pasadena, CA 91105-2711 | 2015-07-24 |
| 1568874576 | Jessica Madrid | Counselor | 4253 Montgomery Blvd Ne, Suite 230, Albuquerque, NM 87109-1106 | 2014-05-24 |
| Street Address |
504 MERRICK RD APT 3G |
| City | LYNBROOK |
| State | NY |
| Zip Code | 11563-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396392072 | Anisha O Jenkins | Social Worker | 33 Allen Street, Lynbrook, NY 11563 | 2019-08-19 |
| 1093377327 | Ivan Karl Levenson | Occupational Therapist | Sunrise of Lynbrook, 53 Frankling Ave, N Lynbrook, NY 11563 | 2019-07-08 |
| 1124583125 | Maria Theresa Fasano | Speech-Language Pathologist | 111 Atlantic Avenue Lynbrook School District, Lynbrook, NY 11563 | 2019-02-04 |
| 1720561509 | Marianne Muldoon | Social Worker | 326 Vincent Avenue, Lynbrook, NY 11563 | 2018-09-08 |
| 1134659972 | Jaclyn Gonsch | Specialist | 136 Stuart Street, Lynbrook, NY 11563 | 2017-06-14 |
| 1497294797 | Ryan James Doupe | Counselor | 42 Fowler Ave, Lynbrook, NY 11563 | 2017-02-20 |
| 1902261647 | Allegra Grace D'alo | Social Worker | 90 Driving Park Ave, Lynbrook, NY 11563 | 2015-12-23 |
| 1699106039 | Elizabeth Gaudet Physical Therapy, P.l.l.c. | Physical Therapist | 34 Whittier Street, Lynbrook, NY 11563 | 2013-12-11 |
| 1427496439 | Jennifer Breen | Psychologist | 303 Merrick Rd Ste 302, Lynbrook, NY 11563 | 2013-06-12 |
| 1588000640 | Kelly Patrice Gallagher | Speech-Language Pathologist | 40-20 235th St, Douglaston, NY 11563 | 2013-05-16 |
| Find all providers in zip 11563 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437153 | Amanda Espinosa | Student in an Organized Health Care Education/Training Program | 1 Hazel Pl, Lynbrook, NY 11563-3214 | 2020-04-29 |
| 1588205322 | Kate Elizabeth Duffy | Student in an Organized Health Care Education/Training Program | 56 Blossom Heath Ave, Lynbrook, NY 11563-2006 | 2019-10-02 |
| 1649777558 | James David Walshe | Student in an Organized Health Care Education/Training Program | 142 Walnut St, Lynbrook, NY 11563-2029 | 2018-04-07 |
| 1770720047 | Nicole Kohner | Student in an Organized Health Care Education/Training Program | 20 Hempstead Ave, Lynbrook, NY 11563-1652 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124986 | Khyati Zala | Student in an Organized Health Care Education/Training Program | 143 South Dr, New Hyde Park, NY 11040-2232 | 2020-11-06 |
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1063013936 | Kenneth Yang | Student in an Organized Health Care Education/Training Program | 30 Rover Ln, Hicksville, NY 11801-6253 | 2020-11-05 |
| 1770184061 | Talia Regina Stagnitta | Student in an Organized Health Care Education/Training Program | 134 Shaber Rd, Patchogue, NY 11772-2429 | 2020-11-04 |
| 1316548605 | Caitlin Hitsous Fitzpatrick | Student in an Organized Health Care Education/Training Program | 18 Hampton Ct, Port Washington, NY 11050-3021 | 2020-11-04 |
| 1538760814 | Adam Paul Tamburello | Student in an Organized Health Care Education/Training Program | 4 Foothill Ln, East Northport, NY 11731-4107 | 2020-11-04 |
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1255932539 | Jordan Taylor Rucks | Student in an Organized Health Care Education/Training Program | 17 Hollingsworth Pl, Centereach, NY 11720-2111 | 2020-11-04 |
| 1639770266 | Fahad Gul Khan | Student in an Organized Health Care Education/Training Program | 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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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.