STEPHANIE JOLICOEUR (NPI# 1700255718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700255718 |
| Entity Type | Individual |
| Full Name | STEPHANIE JOLICOEUR |
| Credential | LPN |
| Practice Address |
565 Manhattan Ave New York NY 10027-5250 |
| Mailing Address |
24138 148th Dr Rosedale NY 11422-3251 |
| Practice Telephone | 2122225958 |
| Mailing Telephone | 9546091625 |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2015-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 322552-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | KV89013R | 05 |
| Street Address |
565 MANHATTAN AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10027-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457449647 | Janet Wise | Social Worker | 565 Manhattan Ave, Lower Level, New York, NY 10027-5250 | 2006-10-11 |
| 1013563543 | Molly Mckenzie Anderson | Nurse Practitioner | 565 Manhattan Ave, New York, NY 10027-5250 | 2019-08-12 |
| 1215417274 | Rosemary Dimicelli | Dental Hygienist | 565 Manhattan Ave, New York, NY 10027-5250 | 2018-08-20 |
| 1417453358 | Brett Coleman Lastra | Registered Nurse | 565 Manhattan Ave, New York, NY 10027-5250 | 2018-03-31 |
| 1619408010 | Tenzin Norkyi | Dental Hygienist | 565 Manhattan Ave, Ryan/adair Community Health Center, New York, NY 10027 | 2017-03-27 |
| 1609319201 | Tonia Wright | Licensed Practical Nurse | 565 Manhattan Ave, New York, NY 10027-5250 | 2016-11-30 |
| 1609318591 | Carla Caesar | Nurse Practitioner | 565 Manhattan Ave, Ryan/thelma D. Davidson Adair Chc, New York, NY 10027-5250 | 2016-11-09 |
| 1720532708 | Derek Ferranti | Chore Provider | 565 Manhattan Ave, New York, NY 10027-5250 | 2016-08-08 |
| 1235595117 | Yajaira Rosado | Licensed Practical Nurse | 565 Manhattan Ave, New York, NY 10027-5250 | 2016-01-08 |
| 1730317769 | William F Ryan Community Health Center Inc | Clinic/Center | 565 Manhattan Ave, New York, NY 10027-5250 | 2009-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1720691199 | Mohamad El Zein | Student in an Organized Health Care Education/Training Program | 281 West 132nd Street, App Nb 2, New York, NY 10027 | 2020-08-26 |
| 1194335893 | Cynthia Wiggins | Social Worker | 1255 Amsterdam Avenue, New York, NY 10027 | 2020-08-06 |
| 1497399877 | Dr. F Sanchez Dental Arts Pllc | Dentist | 2 Saint Nicholas Terrace, Store #1, New York, NY 10027 | 2019-10-29 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1396216818 | Gissel Lopez | Licensed Practical Nurse | 119west 124th Street, New York, NY 10027 | 2018-12-10 |
| 1831660620 | Katherine Gonzalez | Licensed Practical Nurse | 119 121 W 124th Street, New York, NY 10027 | 2018-12-06 |
| 1003383456 | Ebony S Prescott | Specialist | 2130 Adam Clayton Powell Blvd, Phenix Salon Suites, Suite #114, Ny, NY 10027 | 2018-10-24 |
| 1619456589 | Arts of Optics Corp. | Optometrist | 200 W 125th St, New York, NY 10027 | 2018-08-10 |
| 1205355658 | Frederick Community Pharmacy Inc | Pharmacy | 2450 Frederick Douglas Blvd, New York, NY 10027 | 2017-09-18 |
| Find all providers in zip 10027 | ||||
| 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 |
|---|---|---|---|---|
| 1629685904 | Crystal Blue-marino | Licensed Practical Nurse | 2075 3rd Ave, New York, NY 10029-2120 | 2020-09-30 |
| 1396352928 | Alyssa Joan Williams | Licensed Practical Nurse | 371 Fort Washington Ave, New York, NY 10033-6739 | 2020-09-28 |
| 1689280117 | Princess Nailah Blackwell | Licensed Practical Nurse | 2844 Fredrick Douglas Blvd, Apt# 5c, New York, NY 10039 | 2020-09-21 |
| 1255940003 | Emmanuella Charles | Licensed Practical Nurse | 170 Avenue D, New York, NY 10009-4309 | 2020-07-28 |
| 1063038735 | Okeroghene Jude Ikie | Licensed Practical Nurse | 122 W 27th St Fl 4, New York, NY 10001-6271 | 2020-06-18 |
| 1699396945 | Rosa Armstrong Inc | Licensed Practical Nurse | 244 5th Ave # R215, New York, NY 10001-7604 | 2020-04-28 |
| 1952936700 | Elmol P Der | Licensed Practical Nurse | 10 W 119th St Apt 7, New York, NY 10026-1447 | 2020-03-11 |
| 1396385738 | Falilatu Mohammed | Licensed Practical Nurse | 2315 2nd Ave, New York, NY 10035-4160 | 2020-01-14 |
| 1316586290 | Amy Doumbia | Licensed Practical Nurse | 210 W 140th St Apt 5c, New York, NY 10030-1793 | 2019-12-25 |
| 1205474467 | Gayoung Kim | Licensed Practical Nurse | 2279 3rd Ave Apt 3b, New York, NY 10035-2249 | 2019-12-18 |
| Find all providers in NEW YORK | ||||
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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.