MS. SHIRLEY BROCK (NPI# 1992082614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992082614 |
| Entity Type | Individual |
| Full Name | MS. SHIRLEY BROCK |
| Credential | LPN |
| Practice Address |
565 County Route 22 Parish NY 13131-3181 |
| Mailing Address |
565 County Route Road 22 Parish NY 13131 |
| Practice Telephone | 3156257375 |
| Mailing Telephone | 3156257375 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 289124-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538692983 | Shirley Ann Brock | Social Worker | 3720 Sommers Ave, Drexel Hill, PA 19026-3020 | 2017-04-04 |
| Street Address |
565 COUNTY ROUTE 22 |
| City | PARISH |
| State | NY |
| Zip Code | 13131-3181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386061182 | Deborah Ann Vecchio | Social Worker | 44 Rice Road, Parish, NY 13131 | 2014-03-19 |
| 1851601173 | Shannon Marie Priest | Licensed Practical Nurse | 146 Canfield Road, Parish, NY 13131 | 2010-10-20 |
| 1538313580 | Sarah Ellen Ashby | Occupational Therapist | 25 Union Street, Parish, NY 13131 | 2008-11-04 |
| 1104978402 | Altmar-parish-williamstown Central School | Local Education Agency (LEA) | 639 County Route 22, Parish, NY 13131 | 2007-01-17 |
| 1275895567 | Jesse Richard Dean | Licensed Practical Nurse | 15 Huested Rd, Parish, NY 13131-0013 | 2012-06-12 |
| 1619000353 | Jerome Earl Brislin | Optometrist | 577 Dutch Hill Rd, Parish, NY 13131-3167 | 2007-03-13 |
| 1124151816 | Jerome E Brislin, O.d., P.C. | Optometrist | 577 Dutch Hill Rd, Parish, NY 13131-3167 | 2007-03-13 |
| 1275869851 | Casey Seckner | Speech-Language Pathologist | 483 County Route 22, Parish, NY 13131-3178 | 2009-11-02 |
| 1104227461 | Northern Oswego County Health Services, Inc. | Clinic/Center | 640 County Route 22, Parish, NY 13131-3182 | 2014-09-05 |
| 1770975799 | Kathleen Treat | Registered Nurse | 640 County Route 22, Parish, NY 13131-3182 | 2015-02-27 |
| Find all providers in zip 13131 | ||||
| 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 |
|---|---|---|---|---|
| 1821486994 | Linda Arline Windey | Licensed Practical Nurse | 2588 Us Route 11 Trlr 13, Parish, NY 13131-3268 | 2014-12-24 |
| 1033536693 | Anna C Waite | Licensed Practical Nurse | 2970 Us Route 11, Parish, NY 13131-3220 | 2014-03-20 |
| 1275895567 | Jesse Richard Dean | Licensed Practical Nurse | 15 Huested Rd, Parish, NY 13131-0013 | 2012-06-12 |
| 1851601173 | Shannon Marie Priest | Licensed Practical Nurse | 146 Canfield Road, Parish, NY 13131 | 2010-10-20 |
| 1073981676 | Rebecca Rossman | Licensed Practical Nurse | 639 County Route 22, Parish, NY 13131-3339 | 2015-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.