JORDAN FLATH (NPI# 1891224457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891224457 |
| Entity Type | Individual |
| Full Name | JORDAN FLATH |
| Credential | LPN |
| Practice Address |
482 Black River Pkwy Watertown NY 13601-2416 |
| Practice Telephone | 3157821777 |
| Practice Fax Number | 3157858628 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 328475-1 | NY | Nursing Service Providers |
| Street Address |
482 BLACK RIVER PKWY |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215990015 | Donald W Mott | Social Worker | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2006-04-11 |
| 1992353437 | Ashlee Anne Weldon | Case Manager/Care Coordinator | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2019-08-28 |
| 1982264727 | Dari Frezzo | Licensed Practical Nurse | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2019-06-14 |
| 1164994794 | Desiree Michelle Torres Colon | Case Manager/Care Coordinator | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2018-12-20 |
| 1457823171 | Donny Joe Chouinard | Case Manager/Care Coordinator | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2018-12-19 |
| 1568931293 | Leon Lansing Dickinson | Counselor | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2018-11-26 |
| 1518486281 | Melissa Beagle | Social Worker | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2017-09-14 |
| 1801315833 | Rebecca Hicks | Social Worker | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2017-09-11 |
| 1689197055 | Michelle Ann Bartlett | Social Worker | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2017-07-18 |
| 1942730023 | Yvonne Lorelle Davis | Registered Nurse | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2017-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| 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 |
|---|---|---|---|---|
| 1922606912 | Shaelynn Marie Miller | Licensed Practical Nurse | 22479 Echo Dr, Watertown, NY 13601-9334 | 2020-10-13 |
| 1093350126 | Lorrie A Pond | Licensed Practical Nurse | 422 College Hts Apt 2, Watertown, NY 13601-1846 | 2019-11-13 |
| 1972064707 | Karalee Cromwell | Licensed Practical Nurse | 511 W Mullin St, Watertown, NY 13601-3231 | 2019-03-26 |
| 1457827842 | Cynthia Ann Bennett | Licensed Practical Nurse | N1365 Elder Dr, Watertown, WI 53098-3770 | 2018-10-23 |
| 1104378249 | Amber Zubke | Licensed Practical Nurse | 1405 Oconomowoc Ave Apt 1, Watertown, WI 53094-5214 | 2016-10-25 |
| 1114471232 | Diane Margery Bolden | Licensed Practical Nurse | 411 Thompson Blvd, Watertown, NY 13601-4139 | 2016-08-05 |
| 1992154892 | Joshua I Hall | Licensed Practical Nurse | 123 California Ave, Watertown, NY 13601-3042 | 2016-06-10 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1447653662 | Mary Supple | Licensed Practical Nurse | N6288 Stonewood Dr, Watertown, WI 53094-8710 | 2014-10-01 |
| 1235538240 | Marie Petell | Licensed Practical Nurse | 17481 Us Route 11 Lot 5r, Watertown, NY 13601-5346 | 2014-08-14 |
| Find all providers in WATERTOWN | ||||
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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.