MRS. JACQUELINE ACOSTA (NPI# 1801382312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801382312 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE ACOSTA |
| Credential | LPN |
| Practice Address |
57 Evan Rd Warwick NY 10990-4019 |
| Practice Telephone | 8456295569 |
| Mailing Telephone | 8456295569 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 296012 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LPN LICENSE NUMBER | 296012 | 01 |
| Street Address |
57 EVAN RD |
| City | WARWICK |
| State | NY |
| Zip Code | 10990-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992079 | Trauma and Resiliency Resources, Inc. | Community/Behavioral Health | Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 | 2020-08-11 |
| 1881163921 | Warwick Reformed Church | Home Delivered Meals | 16 Maple Avenue, Warwick, NY 10990 | 2018-11-19 |
| 1821522400 | Lauren Weller | Behavior Technician | 103 Little York Road, Warwick, NY 10990 | 2017-04-20 |
| 1154726859 | Marie T Mars | Licensed Practical Nurse | 40 Marian Ct, Warwick, NY 10990 | 2014-10-24 |
| 1417383282 | Lawrence M Kamhi Md PC | Anesthesiology | 121 Village Green Court, Warwick, NY 10990 | 2013-09-24 |
| 1427491398 | Dynamic Therapy Inc | Early Intervention Provider Agency | 47 Homestead Village Drive, Warwick, NY 10990 | 2013-04-10 |
| 1033498381 | Needelia Davis | Registered Nurse | 15 Blue Spruce Trl, Warwick, NY 10990 | 2011-08-04 |
| 1255644803 | Joelle Rodriguez | Optometrist | 36 Ronald Reagan Blvd., Warwick, NY 10990 | 2010-07-23 |
| 1891027900 | Delna M Joseph | Licensed Practical Nurse | 20 Grand Street, Warwick, NY 10990 | 2010-02-01 |
| 1366689200 | Premiere Physical Therapy, PC | Physical Therapist | 56 Onderdonk Rd, Warick, NY 10990 | 2009-01-14 |
| Find all providers in zip 10990 | ||||
| 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 |
|---|---|---|---|---|
| 1346718509 | Dorothea Maguire | Licensed Practical Nurse | 102 Warwick Tpke, Warwick, NY 10990-3918 | 2018-11-06 |
| 1831665652 | Margarida Sullivan | Licensed Practical Nurse | 239 Irving Rd, Warwick, RI 02888-1400 | 2018-10-18 |
| 1871021311 | Khalilah Muhammad | Licensed Practical Nurse | 132 Evan Rd, Warwick, NY 10990-4022 | 2017-05-29 |
| 1366891301 | Mary Bonomi | Licensed Practical Nurse | 26 Ketchum Rd, Warwick, NY 10990-4222 | 2016-06-09 |
| 1689045585 | Marianne Dreizler | Licensed Practical Nurse | 12 Marian Ct, 12 Marian Ct, Warwick, NY 10990-4044 | 2015-10-18 |
| 1134511181 | Elizabeth Wright | Licensed Practical Nurse | 4 Wisner Trl, Warwick, NY 10990-3423 | 2015-02-28 |
| 1548658289 | Candice Marie Hernandez | Licensed Practical Nurse | 103 Evan Rd, Warwick, NY 10990-4022 | 2015-01-05 |
| 1154726859 | Marie T Mars | Licensed Practical Nurse | 40 Marian Ct, Warwick, NY 10990 | 2014-10-24 |
| 1881001964 | Mary Mcconnell | Licensed Practical Nurse | 150 Pine Island Tpke, Warwick, NY 10990-2714 | 2014-07-21 |
| 1750621108 | Susana Cruz | Licensed Practical Nurse | 3 Forester Ave # 54, Warwick, NY 10990-1129 | 2013-02-21 |
| Find all providers in WARWICK | ||||
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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.