SARA ROSE SMITH (NPI# 1255609293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255609293 |
| Entity Type | Individual |
| Full Name | SARA ROSE SMITH |
| Credential | LPN |
| Practice Address |
5511 State Route 55 Liberty NY 12754-2832 |
| Mailing Address |
Po Box 913 120 Main St Apt 2 Livingston Manor NY 12758 |
| Practice Telephone | 8657193060 |
| Mailing Telephone | 8657193060 |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 290440 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205497575 | Sara Deanne Smith | Clinic/Center | 1745 Shea Center Dr Ste 445, Highlands Ranch, CO 80129-1537 | 2019-06-26 |
| 1780163014 | Sara Bonita Smith | Licensed Practical Nurse | 909 Us Highway 80 E Apt 5305, Mesquite, TX 75150-5754 | 2018-08-08 |
| 1467940502 | Sara Anne Smith | Speech-Language Pathologist | 2855 Highway 83 Nw, Max, ND 58759-9458 | 2018-04-24 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1861923047 | Sara Jordan Smith | Obstetrics & Gynecology | 15585 Nineteen Mile Road, Clinton Township, MI 48038 | 2017-03-21 |
| 1720529886 | Sara Jane Smith | Contractor | 108 Willow Oak Ct, Simpsonville, SC 29681-4962 | 2017-03-09 |
| 1801334719 | Sara Smith | Marriage & Family Therapist | 9711 Nw 37th St, Same As Above, Hollywood, FL 33024-8009 | 2017-02-10 |
| 1679019699 | Sara Smith | Registered Nurse | 9691 Rosalie Loop, Keithville, LA 71047-6108 | 2017-01-13 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
| Street Address |
5511 STATE ROUTE 55 |
| City | LIBERTY |
| State | NY |
| Zip Code | 12754-2832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060749 | Tiffany Anne Huebsch | Registered Nurse | 52 Ferndale Loomis Rd, Liberty, NY 12754 | 2018-10-30 |
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1073093035 | Gelsomino and Davis Speech and Occupational Therapy | Case Management | 5 Triangle Rd Ste C, Liberty, NY 12754 | 2018-08-20 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1437401924 | Shannon Marie Ostrander | Social Worker | 20 Commmunity Lane, Liberty, NY 12754 | 2012-10-08 |
| 1962788554 | Jill M Holland | Occupational Therapy Assistant | 6 Weirk Ave, Liberty, NY 12754 | 2011-10-26 |
| 1962653790 | Sylvie B Acoulon | Social Worker | 20 Community Services, Liberty, NY 12754 | 2008-10-10 |
| 1568680767 | Melanie A Cavrell | Social Worker | 76 Nature Lake Rd Ofc, Liberty, NY 12754 | 2007-04-23 |
| 1922015817 | Helen Marian Burke | Advanced Practice Midwife | 23 High Street, Monticello, NY 12754 | 2006-08-02 |
| 1427087105 | Town of Liberty Volunteer Ambulance Corps Inc | Ambulance | 178 Mill St, Liberty, NY 12754 | 2006-07-03 |
| Find all providers in zip 12754 | ||||
| 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 |
|---|---|---|---|---|
| 1114588001 | Jeffery Cobbs | Licensed Practical Nurse | 81 Dwyer Ave, Liberty, NY 12754-1524 | 2019-06-22 |
| 1770046286 | Cristina Bendi | Licensed Practical Nurse | 3 Timberwolf Rd Unit 57, Liberty, NY 12754-3349 | 2019-04-11 |
| 1912291436 | Amanda Sullivan | Licensed Practical Nurse | 364 Lake Marie Rd, Liberty, NY 12754-2924 | 2011-06-01 |
| 1629362322 | Melissa Lynn Degraw | Licensed Practical Nurse | 343 Chestnut St, Liberty, NY 12754-1402 | 2011-05-31 |
| 1528377587 | Grace Nyarko Kanbi Andoh | Licensed Practical Nurse | 5166 Eml Leaf, Liberty, OH 45011-5908 | 2010-09-24 |
| 1609995323 | Salvatore Crescitelli | Licensed Practical Nurse | 2 Green Ln, Liberty, NY 12754-1948 | 2007-03-28 |
| 1881972198 | Candy Nadine Diaz | Licensed Practical Nurse | 8 Marion Ave, Liberty, NY 12754 | 2011-08-03 |
| 1952563850 | Linda Ann Bombolino | Licensed Practical Nurse | 20 Community Ln, Liberty, NY 12754-2851 | 2008-07-01 |
| 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.