JENNIFER LACKAYE (NPI# 1831728237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831728237 |
| Entity Type | Individual |
| Full Name | JENNIFER LACKAYE |
| Credential | RN |
| Practice Address |
45 Reade Pl Poughkeepsie NY 12601-3947 |
| Mailing Address |
10 Beechwood Ave Poughkeepsie NY 12601-5106 |
| Practice Telephone | 8454548500 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 680750 | NY | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 309880 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1485 Route 9d, Wappingers Falls, NY 125907167 | 8458388907 | |
| 2585 South Rd Ste 15a, Poughkeepsie, NY 126017001 | 8454541399 |
| Street Address |
45 READE PL |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448185 | Vlad Frenk | Anesthesiology | 45 Reade Pl, Poughkeepsie, NY 12601 | 2005-06-27 |
| 1427664184 | Alley Nicole O'farrell | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-09-18 |
| 1215556279 | Katherine Paola Acosta | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-10 |
| 1891314852 | Nahal G Nikroo | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-10 |
| 1275162463 | Andrew John Kehrer | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-08 |
| 1427687995 | Jeffrey David Crawford | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-06 |
| 1598394231 | Joseph Jose Kuruvilla | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-04 |
| 1285263061 | Laryssa Do Ouro-rodrigues | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-03 |
| 1770112807 | Jude Igboanusi | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-01 |
| 1922636083 | Ayesha Munir | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013425768 | Olivia Maamle Obuabang | Nurse Practitioner | 12 Knightsbridge Unit E, Poughkeepsie, NY 12603-3641 | 2018-01-16 |
| 1063811529 | Tierra Oliver | Nurse Practitioner | 9 Livingston St Ste 5, Poughkeepsie, NY 12601-4719 | 2014-08-20 |
| 1568424034 | Sasha Mihail Gaer | Nurse Practitioner | 69 W Cedar St, Poughkeepsie, NY 12601-1351 | 2006-04-03 |
| 1508858523 | Christine Elizabeth Blossy | Nurse Practitioner | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2005-08-16 |
| 1174158752 | Kathleen Wohlfahrt | Nurse Practitioner | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-03-04 |
| 1861972689 | Susan Christine Stanforth | Nurse Practitioner | 159 Barnegat Rd Ste 101, Poughkeepsie, NY 12601-5402 | 2018-08-21 |
| 1346789757 | Samantha Anne Tecchio | Nurse Practitioner | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2017-02-17 |
| 1467833863 | Margot Schinella | Nurse Practitioner | 375 Hooker Ave, Poughkeepsie, NY 12603 | 2015-06-11 |
| 1952788648 | Amoy Hines | Nurse Practitioner | 15 Fulton Ave, Poughkeepsie, NY 12603-2315 | 2015-05-01 |
| 1962630657 | Paula Portelli | Nurse Practitioner | 1910 South Rd, Poughkeepsie, NY 12601-6027 | 2009-07-01 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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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.