MARIE DOMINIQUE (NPI# 1740524636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740524636 |
| Entity Type | Individual |
| Full Name | MARIE DOMINIQUE |
| Credential | LPN |
| Practice Address |
2054 Tillotson Ave Bronx NY 10475-1560 |
| Practice Telephone | 7186712100 |
| Mailing Telephone | 7186712100 |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 310805 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962756593 | Marie Ketlie Dominique | Respiratory Therapist, Registered | 3260 Jasper Way, Miramar, FL 33025-4246 | 2012-11-05 |
| Street Address |
2054 TILLOTSON AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10475-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346510690 | Ochuko Oghenerhuohwo | Registered Nurse | 2054 Tillotson Ave, Bronx, NY 10475-1560 | 2012-01-04 |
| 1417326950 | Micheline Fleurantin | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2015-09-15 |
| 1093184541 | Michaella Barnes | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2015-09-15 |
| 1528437076 | Monica Dobson-shannon I | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2015-09-15 |
| 1295103901 | Bimbo Ibitoye | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2015-09-11 |
| 1699143370 | Alexandrina Rolland | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2015-09-11 |
| 1962870642 | Aquila Mambuliya | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2015-09-11 |
| 1639547573 | Vivian Ekenasi | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 101, Bronx, NY 10475-1560 | 2015-09-09 |
| 1033514328 | Priscilla Elson | Registered Nurse | 2054 Tillotson Ave, Bronx, NY 10475-1560 | 2014-10-29 |
| 1891197851 | Tamika Francina Clemetson | Licensed Practical Nurse | 2054 Tillotson Ave, Suite 102, Bronx, NY 10475-1560 | 2014-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973048 | Sharon Antoinette Hall | Registered Nurse | 2552 Pelham Bay Park West, Apt 1 D, 2551 Pelham Bay Park West, Bronx, NY 10475 | 2019-07-11 |
| 1265912042 | Bartow Pharmacy Inc. | Pharmacy | 500-5 Baychester Ave. Store #5, Bronx, NY 10475 | 2018-08-21 |
| 1518465996 | Jacqueline Caraballo | Nurse Practitioner | 100 De Kruif Place Apt 27h, Bronx, NY 10475 | 2018-01-31 |
| 1093227142 | Rachel Obeng Mireku | Licensed Practical Nurse | 140 Dekruif Place, Apt # 26k, Bronx, NY 10475 | 2017-10-30 |
| 1023534518 | Nelson Merritt Hall | Chiropractor | 2100 Bartow Ave, Ste #227, Bronx, NY 10475 | 2017-08-17 |
| 1245769363 | Sharon Holland Johnson | Licensed Practical Nurse | 140 Dekruif Pl, Bronx, NY 10475 | 2017-06-12 |
| 1740719152 | Nadia S Etienne | Licensed Practical Nurse | 120 De Kruif Place, Apt 18h, Bronx, NY 10475 | 2017-06-08 |
| 1407385891 | Ashley N Freeze | Case Manager/Care Coordinator | 140 Darrow Place Suite 24e, Bronx, NY 10475 | 2017-06-08 |
| 1912454091 | Usth.inc | Early Intervention Provider Agency | 120 Coop City Blvd, 21-f, Bronx, NY 10475 | 2016-09-06 |
| 1447626130 | Zelda Boomer | Registered Nurse | 920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475 | 2015-08-17 |
| Find all providers in zip 10475 | ||||
| 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 |
|---|---|---|---|---|
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1780284661 | Tiffanny Rawlins | Licensed Practical Nurse | 4200 Bronxwood Ave, Bronx, NY 10466-3119 | 2020-10-29 |
| 1063012987 | Theresa Kukueley Okaikoi | Licensed Practical Nurse | 2271 Washington Ave Apt 1d, Bronx, NY 10457-1458 | 2020-10-29 |
| 1770182396 | Daouda Nikiema | Licensed Practical Nurse | 3477 Knox Pl Apt E, Bronx, NY 10467-2051 | 2020-10-23 |
| 1811596000 | Nancy Agyapong | Licensed Practical Nurse | 1735 Lafayette Ave, Bronx, NY 10473-4171 | 2020-10-20 |
| 1255939005 | Serifat Adeyemi | Licensed Practical Nurse | 830 E 214th St, Bronx, NY 10467-5914 | 2020-10-14 |
| 1124625165 | Vanessa Daymon | Licensed Practical Nurse | 662 E 216th St, Bronx, NY 10467-5512 | 2020-10-02 |
| 1770199135 | Paula Pamella Smith | Licensed Practical Nurse | 2035 Nereid Ave, Bronx, NY 10466-1110 | 2020-09-21 |
| 1477169274 | Yetunde Elizabeth Onafuwa | Licensed Practical Nurse | 1485 Fulton Ave Apt 5d, Bronx, NY 10456-2119 | 2020-09-17 |
| 1336755123 | Eunice Isabel Paredes | Licensed Practical Nurse | 1895 University Ave Apt 6d, Bronx, NY 10453-4475 | 2020-09-17 |
| Find all providers in BRONX | ||||
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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.