MRS. AMY SUSAN GRIBBIN (NPI# 1154625358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154625358 |
| Entity Type | Individual |
| Full Name | MRS. AMY SUSAN GRIBBIN |
| Credential | BS, CCE, CBC, LPN |
| Practice Address |
4726 Wilshire Ln Oakdale NY 11769-1450 |
| Practice Telephone | 6316802468 |
| Mailing Telephone | 6316802468 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2012-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 246594-1 | NY | Nursing Service Providers |
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 374J00000X | Doula | Nursing Service Related Providers |
| Street Address |
4726 WILSHIRE LN |
| City | OAKDALE |
| State | NY |
| Zip Code | 11769-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730569153 | Sharon Ruckdeschel | Specialist | 32 La Salle Place, Oakdale, NY 11769 | 2015-06-01 |
| 1346583416 | Daniel Mathew Mccarthy | Registered Nurse | 151 Bridle Way, Oakdale, NY 11769 | 2013-03-27 |
| 1932469434 | Gail Santos | Licensed Practical Nurse | 141a Oakdale Bohemia Rd, Oakdale, NY 11769 | 2012-05-18 |
| 1609184647 | Jennifer King Farnum | Counselor | 371 Locust Ave, Oakdale, NY 11769 | 2010-09-23 |
| 1912220302 | Daniel Sacks Litwin | Acupuncturist | 2 Berard Blvd, Oakdale, NY 11769 | 2010-03-12 |
| 1760628804 | Deborah Ann Dimarzo | Massage Therapist | 5 Race Pl, Oakdale, NY 11769 | 2008-12-19 |
| 1790904662 | Agnes Marie Drescher | Social Worker | 532 Race Place, Oakdale, NY 11769 | 2007-04-25 |
| 1275652166 | Gina Marie Guschel | Physician Assistant | 4568 Sunrise Highway, Oakdale, NY 11769 | 2007-03-29 |
| 1366578726 | Mark Salerno | Dentist | 1219 Montauk Highway, Oakdale, NY 11769 | 2007-02-27 |
| 1609919984 | Bonnie Lynn Rubell | Occupational Therapist | 1227 2 Montauk Highway, Tender Age Pt Inc, Oakdale, NY 11769 | 2007-02-15 |
| Find all providers in zip 11769 | ||||
| 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 |
|---|---|---|---|---|
| 1982215513 | Erica Johnson | Licensed Practical Nurse | 10 Jeffery Rd, Oakdale, NY 11769-1850 | 2020-08-17 |
| 1437656576 | Alexandra Coleman | Licensed Practical Nurse | 16 Chatham Dr, Oakdale, NY 11769-1402 | 2018-04-06 |
| 1548778145 | Lisa Savino | Licensed Practical Nurse | 446 Locust Ave, Oakdale, NY 11769-1609 | 2018-01-17 |
| 1780112169 | Cali Alyssa Okeefe | Licensed Practical Nurse | 4021 Wilshire Ln, Oakdale, NY 11769-1446 | 2017-05-30 |
| 1144779570 | Jaysie Virgilio | Licensed Practical Nurse | 131 Locust Ave, Oakdale, NY 11769-1606 | 2016-09-27 |
| 1578989208 | Debra A Croce I | Licensed Practical Nurse | 476 Ocean Ave, Oakdale, NY 11769-1533 | 2014-03-05 |
| 1245666718 | Jeanette Frances Martino | Licensed Practical Nurse | 1116 Montauk Hwy, Oakdale, NY 11769-1432 | 2013-09-17 |
| 1093051294 | Margaret Elizabeth Vanderputten | Licensed Practical Nurse | 84 Chatham Dr, Oakdale, NY 11769-1402 | 2012-12-17 |
| 1932469434 | Gail Santos | Licensed Practical Nurse | 141a Oakdale Bohemia Rd, Oakdale, NY 11769 | 2012-05-18 |
| 1821356874 | Owen Daniel Ortiz | Licensed Practical Nurse | 83 Bayview Dr, Oakdale, NY 11769-2235 | 2012-04-27 |
| Find all providers in OAKDALE | ||||
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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.