SHANICE POTTINGER (NPI# 1205304755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205304755 |
| Entity Type | Individual |
| Full Name | SHANICE POTTINGER |
| Credential | LPN |
| Practice Address |
15 Suffern Place Suffern NY 10901 |
| Practice Telephone | 8453574500 |
| Practice Fax Number | 8453575039 |
| Mailing Telephone | 8453574500 |
| Mailing Fax Number | 8453575039 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 331446 | NY | Nursing Service Providers |
| Street Address |
15 SUFFERN PLACE |
| City | SUFFERN |
| State | NY |
| Zip Code | 10901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811341530 | Simone Raven Pringle | Licensed Practical Nurse | 15 Suffern Place, Suite A, Suffern, NY 10901 | 2016-04-19 |
| 1669099966 | Amanda Carla Hidalgo | Registered Nurse | 15 Suffern Place, Suffern, NY 10901 | 2020-07-02 |
| 1689207656 | Janira Felix | Licensed Practical Nurse | 15 Suffern Place, Suffern, NY 10901 | 2020-02-19 |
| 1801439732 | Brenda Phillips | Registered Nurse | 15 Suffern Place, Ste A, Suffern, NY 10901 | 2019-10-23 |
| 1396393054 | Ashley Digiacomo | Licensed Practical Nurse | 15 Suffern Place, Suffern, NY 10901 | 2019-08-27 |
| 1043872500 | Cashandra Shawon Hall | Registered Nurse | 15 Suffern Place, Suffern, NY 10901 | 2019-07-05 |
| 1447810395 | Khystine Melissa Livingston | Registered Nurse | 15 Suffern Place, Suffern, NY 10901 | 2019-06-13 |
| 1093372393 | Danica Daryl Deldin | Registered Nurse | 15 Suffern Place, Suffern, NY 10901 | 2019-05-22 |
| 1174084669 | Amanda Moradel | Licensed Practical Nurse | 15 Suffern Place, Suffern, NY 10901 | 2019-03-27 |
| 1487127437 | Eva D Ferdinand | Registered Nurse | 15 Suffern Place, Suffern, NY 10901 | 2019-01-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895309 | Constance Marie Princiotto | Registered Nurse | J&d Ultracare, 15 Suffern Pl, Suffern, NY 10901 | 2020-09-10 |
| 1376101790 | Tenika Filomena Walters | Licensed Practical Nurse | 15 Suffen Place, Suffen, NY 10901 | 2019-05-31 |
| 1922563261 | Matthew Abel | Dietitian, Registered | 156 Ny-59, A2, Suffern, NY 10901 | 2019-01-31 |
| 1609349422 | Yona Newmark | Behavioral Analyst | 84 Route 59 Suite 102, Suffern, NY 10901 | 2019-01-03 |
| 1235606005 | William M Mazariego | Specialist/Technologist | 5 Tallman Pl, Suffern, NY 10901 | 2018-10-30 |
| 1396237228 | Stephanie N Freer | Registered Nurse | 15 Suffern Pl., Suffern, NY 10901 | 2018-06-06 |
| 1588102669 | Lisa Arcuri | Registered Nurse | 15 Suffern Place Ste A, Suffern, NY 10901 | 2017-02-08 |
| 1801342787 | Maria Castro-cancel | Social Worker | 58 Campbell Avenue, Airmont, NY 10901 | 2016-08-30 |
| 1871998666 | Simi Samuel | Specialist | 13 Hillside Ct, Suffern, NY 10901 | 2014-10-23 |
| 1942604079 | Maria Paternoster | Specialist | 3 North Amundsen Lane, Airmont, NY 10901 | 2014-10-17 |
| Find all providers in zip 10901 | ||||
| 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 |
|---|---|---|---|---|
| 1356972996 | Rode Vilfranche | Licensed Practical Nurse | 105 Smith Hill Rd, Suffern, NY 10901-7710 | 2020-02-02 |
| 1659890598 | Robyn Morse | Licensed Practical Nurse | 19 Milford Ln, Suffern, NY 10901-7926 | 2017-09-12 |
| 1053856815 | Michelle Rybicki | Licensed Practical Nurse | 18 Pavilion Ridge Way, Apt 8, Suffern, NY 10901-4663 | 2017-01-03 |
| 1811341530 | Simone Raven Pringle | Licensed Practical Nurse | 15 Suffern Place, Suite A, Suffern, NY 10901 | 2016-04-19 |
| 1336544873 | Rose Darbouze | Licensed Practical Nurse | 5 Whisper Ln, Suffern, NY 10901-4023 | 2014-10-27 |
| 1710310214 | Carolina Kleiman | Licensed Practical Nurse | 403 Pawnee Ct, Suffern, NY 10901-4123 | 2013-08-20 |
| 1518303874 | Sofia Milien | Licensed Practical Nurse | 12 Chestnut St, Apt B 308, Suffern, NY 10901 | 2013-05-14 |
| 1134448335 | Karen Morgan | Licensed Practical Nurse | 106 Bon Aire Cir W, R 8, Suffern, NY 10901-7041 | 2010-05-27 |
| 1689207656 | Janira Felix | Licensed Practical Nurse | 15 Suffern Place, Suffern, NY 10901 | 2020-02-19 |
| 1417594912 | Rosemary Frimpong Badu | Licensed Practical Nurse | 15 Suffern Pl., Suffern, NY 10901 | 2019-12-03 |
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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.