KIMBERLY SOEUNG (NPI# 1821429937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821429937 |
| Entity Type | Individual |
| Full Name | KIMBERLY SOEUNG |
| Practice Address |
1895 Mecklenburg Rd Apt 11 Ithaca NY 14850-9283 |
| Practice Telephone | 6077933765 |
| Mailing Telephone | 6077933765 |
| Enumeration Date | 2013-11-29 |
| Last Update Date | 2013-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 3057531 | NY | Nursing Service Providers |
| Street Address |
1895 MECKLENBURG RD APT 11 |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-9283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| 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 |
|---|---|---|---|---|
| 1558871889 | Kyla Leann Reyes | Licensed Practical Nurse | 1507 Slaterville Rd, Ithaca, NY 14850 | 2017-09-29 |
| 1821428038 | Mary Elizabeth Narcisse | Licensed Practical Nurse | 1804 Mecklenburg Rd Apt 2, Ithaca, NY 14850-9202 | 2013-11-25 |
| 1194093567 | Donna J Lussier | Licensed Practical Nurse | 584 W King Rd, Apt1, Ithaca, NY 14850-8608 | 2011-12-13 |
| 1316227366 | Donna G Gilbert | Licensed Practical Nurse | 25 Gilbert Rd, Ithaca, NY 14850-9454 | 2011-08-23 |
| 1629385620 | Jessica Jenkins | Licensed Practical Nurse | 101 Uptown Rd Apt 17, Ithaca, NY 14850-1604 | 2010-09-13 |
| 1316258312 | Eva M. Mccall | Licensed Practical Nurse | 555 Warrren Road, Ithaca, NY 14850-1862 | 2010-06-24 |
| 1366753543 | Laurie Jane Palladino | Licensed Practical Nurse | 555 Warren Road, Ithaca, NY 14850 | 2010-06-23 |
| 1538480033 | Cassandra Marie Niles | Licensed Practical Nurse | 208 Cypress Court, #3, Ithaca, NY 14850 | 2010-06-18 |
| 1437477791 | Denise Karis Stevenson | Licensed Practical Nurse | 164 E Miller Rd, Ithaca, NY 14850-9495 | 2010-05-12 |
| 1992037832 | Megan Henry | Licensed Practical Nurse | 210 Cypress Ct Apt 3, Ithaca, NY 14850-7518 | 2010-02-03 |
| Find all providers in ITHACA | ||||
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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.