NIKOLE MARIE JEFFRIES (NPI# 1144560897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144560897 |
| Entity Type | Individual |
| Full Name | NIKOLE MARIE JEFFRIES |
| Credential | LPN |
| Practice Address |
480 Central Ave Naval Health Clinic Hawai'i Pearl Harbor HI 96860 |
| Mailing Address |
2040 Sw Pheasant Dr Aloha OR 97006-3838 |
| Practice Telephone | 5413900029 |
| Mailing Telephone | 5413900029 |
| Enumeration Date | 2013-02-17 |
| Last Update Date | 2013-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | LP 60262043 | WA | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | LPN 17499 | HI | Nursing Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | 200830473LPN | OR | Nursing Service Providers |
| Street Address |
480 CENTRAL AVE NAVAL HEALTH CLINIC HAWAI'I |
| City | PEARL HARBOR |
| State | HI |
| Zip Code | 96860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311930 | Branch Medical Clinic Naval Shipyard Pearl Harbor | Clinic/Center | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-09-16 |
| 1144841842 | Sue Ellen Alden-rudin | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-05-04 |
| 1982244489 | Lindsey Serapion-peralta | Dental Hygienist | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-01-13 |
| 1609429364 | Michelle Marie Pallera Lobaton | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860 | 2019-07-22 |
| 1548720451 | Kimi Jo Nelson | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860 | 2019-03-25 |
| 1841761525 | Heather Nycole Matz | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-12-06 |
| 1184192494 | Edwin Ernest Stumpf II | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-11-05 |
| 1902380413 | Lystra Irene Braumuller | Case Manager/Care Coordinator | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-09-20 |
| 1942783121 | Jennifer Yadao | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-09-13 |
| 1750860318 | Genine Marie Gorman | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075970 | April Box | Registered Nurse | Naval Health Clinic Hawii, 480 Central Avenue, Pearl Harbor, HI 96860 | 2018-06-04 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
| 1982057816 | John Alois Kustermann | Family Medicine | 490 Central Avenue Bldg 281, Honolulu Military Entrance Processing Station, Pearl Harbor, HI 96860 | 2016-07-15 |
| 1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
| 1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| 1790056620 | Lesley Brooke Dorsey | Physician Assistant | 408 Central Ave, Jbphh, HI 96860 | 2012-01-24 |
| 1184914061 | William A Talbott | Military Health Care Provider | 850 Ticonderoga St, Pearl Harbor, HI 96860 | 2011-04-13 |
| 1275860603 | Michael J. Rodriguez | Military Health Care Provider | 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 | 2009-11-05 |
| Find all providers in zip 96860 | ||||
| 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 |
|---|---|---|---|---|
| 1740657667 | Monica Caywood | Licensed Practical Nurse | 480 Central Ave, Naval Health Clinic Hawaii, Pearl Harbor, HI 96860-4908 | 2015-08-26 |
| 1912398959 | Randi Keough | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860 | 2015-02-12 |
| 1720478746 | Melanie Joan Simmons | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2015-01-29 |
| 1841692092 | Carrie Dee Dina | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2014-09-18 |
| 1245644186 | Tracy A Wilson | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2014-06-18 |
| 1568874642 | Thanh Chau Nguyen | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2014-05-23 |
| 1750716577 | Kelis Daionia Cummings | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2013-09-11 |
| 1164868261 | Cameron L Jaks | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2013-05-15 |
| 1487995338 | Masami Jeongmi Den Beste | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2013-03-01 |
| 1740536028 | Susie Cabotaje Lidge | Licensed Practical Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2012-07-24 |
| Find all providers in PEARL HARBOR | ||||
| City | PEARL HARBOR |
| Zip Code | 96860 |
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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.