MS. KIMBERLY MONIWUE GILMORE JACKSON (NPI# 1811290141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811290141 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY MONIWUE GILMORE JACKSON |
| Credential | LPN |
| Practice Address |
5285 Lewiston Rd Lewiston NY 14092-1942 |
| Mailing Address |
8521 Porter Rd Apt 108 Niagara Falls NY 14304-1631 |
| Practice Telephone | 7162982900 |
| Practice Fax Number | 7162983815 |
| Mailing Telephone | 7162976075 |
| Mailing Fax Number | 7162983815 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2785861 | NY | Nursing Service Providers |
| Street Address |
5285 LEWISTON RD |
| City | LEWISTON |
| State | NY |
| Zip Code | 14092-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720073539 | Our Lady of Peace Inc. | Skilled Nursing Facility | 5285 Lewiston Rd, Lewiston, NY 14092-1942 | 2005-09-19 |
| 1851990352 | Gina Godwin | Occupational Therapist | 5285 Lewiston Rd, Lewiston, NY 14092-1942 | 2020-10-26 |
| 1245839976 | Loren N Romano | Occupational Therapist | 5285 Lewiston Rd, Lewiston, NY 14092-1942 | 2020-10-23 |
| 1326655762 | Elizabeth Galland | Speech-Language Pathologist | 5285 Lewiston Rd, Lewiston, NY 14092-1942 | 2020-09-29 |
| 1003428277 | Kylie Rose Wilkins | Occupational Therapy Assistant | 5285 Lewiston Rd, Lewiston, NY 14092-1942 | 2020-08-19 |
| 1720697618 | Kristen Michelle Hayes | Physical Therapy Assistant | 5285 Lewiston Rd, Lewiston, NY 14092-1942 | 2020-07-27 |
| 1235791591 | Andrea Tantillo | Occupational Therapist | 5285 Lewiston Rd, Lewiston, NY 14092-1942 | 2019-07-07 |
| 1679131320 | Danielle Marie Orlando | Occupational Therapy Assistant | 5285 Lewiston Rd, Lewiston, NY 14092-1942 | 2019-05-29 |
| 1164983631 | Michele Lauren Kujawa | Physical Therapist | 5285 Lewiston Rd, Lewiston, NY 14092-1942 | 2019-03-27 |
| 1144789728 | Countess-jai Richards | Physical Therapist | 5285 Lewiston Rd, Lewiston, NY 14092-1942 | 2019-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358335 | Samantha Rae Grizanti | Licensed Practical Nurse | 4516 Model City Road, Lewiston, NY 14092 | 2019-10-18 |
| 1124527023 | Bethany Sirianni-jones | Physician Assistant | 5290 Military Road Suite # 8, Lewiston, NY 14092 | 2018-02-06 |
| 1427251800 | Cheryl Ann Krouse | Massage Therapist | 852 Madison Ave., Lewiston, NY 14092 | 2007-06-06 |
| 1154549756 | Niagara Physical Therapy PC | Specialist | 736 Cayuga Street, Lewiston, NY 14092 | 2007-04-22 |
| 1457486656 | Ronald William Laduca | Social Worker | 400 Oneida St, Lewiston, NY 14092 | 2007-02-21 |
| 1780736884 | Alberta Borgese Micale | Internal Medicine | 445 Fort Gray Drive, Lewiston, NY 14092 | 2007-01-17 |
| 1700944386 | Sherri L Lashomb | Chiropractor | 765 Center Street, Lewiston, NY 14092 | 2006-12-05 |
| 1457444929 | Jennifer Lynn Pofi | Pharmacist | 400 Plain Street, Lewiston, NY 14092 | 2006-10-02 |
| 1497848675 | Kimberly Ann Szymanski | Nurse Practitioner | 2015 Mount Hope Road, Lewiston, NY 14092 | 2006-10-02 |
| 1902864234 | Brenda Lee Perez | Emergency Medicine | 5300 Military Road, Lewiston, NY 14092 | 2006-05-03 |
| Find all providers in zip 14092 | ||||
| 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 |
|---|---|---|---|---|
| 1093358335 | Samantha Rae Grizanti | Licensed Practical Nurse | 4516 Model City Road, Lewiston, NY 14092 | 2019-10-18 |
| 1811550668 | Donna E Jester | Licensed Practical Nurse | 870 Elliott Dr, Lewiston, NY 14092-2000 | 2019-04-17 |
| 1083180541 | Morgan Brittany Boss | Licensed Practical Nurse | 340 Rudlen Rd, Lewiston, NY 14092-1260 | 2018-10-22 |
| 1891114070 | Anne Stevens | Licensed Practical Nurse | 532 Greenfield Rd, Lewiston, NY 14092-1102 | 2014-04-15 |
| 1417384355 | Angela Vana Schifano | Licensed Practical Nurse | 1045 Escarpment Dr, Lewiston, NY 14092-2061 | 2013-10-10 |
| 1023351491 | Andrea Nicole Edwards | Licensed Practical Nurse | 895 The Circle Dr, Lewiston, NY 14092-2044 | 2013-04-03 |
| 1912229576 | Laurie Moeller | Licensed Practical Nurse | 846 Oriole Ln, Lewiston, NY 14092-2412 | 2010-02-24 |
| 1881167609 | Christie Kytonen | Licensed Practical Nurse | 415 6th St, Lewiston, ID 83501-2431 | 2019-01-03 |
| 1679049126 | Jeb Michael Simpson | Licensed Practical Nurse | 1118 F St, Lewiston, ID 83501-1930 | 2018-10-22 |
| 1538549100 | Ashley Denton | Licensed Practical Nurse | 130 N Main St, Lewiston, UT 84320-1501 | 2015-06-09 |
| Find all providers in LEWISTON | ||||
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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.