MADONNA DEMELLA (NPI# 1316376718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316376718 |
| Entity Type | Individual |
| Full Name | MADONNA DEMELLA |
| Credential | LPN |
| Practice Address |
51 Tall Oak Cir Apartment #1 Moriches NY 11955-1105 |
| Mailing Address |
54 Dogwood Ln Manorville NY 11949-3111 |
| Practice Telephone | 6312940789 |
| Mailing Telephone | 6312940789 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 10280398 | NY | Nursing Service Providers |
| Street Address |
51 TALL OAK CIR APARTMENT #1 |
| City | MORICHES |
| State | NY |
| Zip Code | 11955-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255979399 | Robert Anthony Fitzsimmons | Massage Therapist | 225 Montauk Highway Suite 114, Moriches, NY 11955 | 2019-12-19 |
| 1548745474 | Luanne Sauer | Massage Therapist | 225 Montauk Hwy, St 114, Suite 114, Moriches, NY 11955 | 2018-09-26 |
| 1295008266 | Narcisa Marrero | Adult Companion | 82 Beaverspur, 10, Moriches, NY 11955 | 2012-02-21 |
| 1639488810 | Donna Susan Moeller | Registered Nurse | 630 Moriches Middle Island Road, Moriches, NY 11955 | 2010-10-05 |
| 1275706731 | Independent Group Home Living | Intermediate Care Facility, Mentally Retarded | 125 Sebonic Rd, South Hampton, NY 11955 | 2008-04-07 |
| 1043491665 | Colonial Youth and Family Services Inc. | Social Worker | 346 Montauk Hwy Ste 1a, Moriches, NY 11955 | 2007-11-26 |
| 1316152556 | Maude V Fassett | Social Worker | 70-14 Lakewood Ct, Apt 14, Moriches, NY 11955 | 2007-05-11 |
| 1790896173 | Charles Melton | Dentist | 256 Montauk Highway, Starlight Dental Care, Moriches, NY 11955 | 2006-08-31 |
| 1386935948 | Kimberly Lynn Andrejkovics | Social Worker | 346 Montauk Hwy Ste 1a, Moriches, NY 11955 | 2011-04-29 |
| 1770893729 | Moriches Vision Center | Technician/Technologist | 225 Montauk Hwy, Suite 106, Moriches, NY 11955 | 2010-10-08 |
| Find all providers in zip 11955 | ||||
| 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 |
|---|---|---|---|---|
| 1578978128 | Chrystil Seiler | Licensed Practical Nurse | 1 Abby Ct, Moriches, NY 11955-1813 | 2014-06-23 |
| 1427468370 | Carrie Lyn Manganaro | Licensed Practical Nurse | 11 Tulip Ct, Moriches, NY 11955-1901 | 2014-04-30 |
| 1932523669 | Jennifer Dyer | Licensed Practical Nurse | 68 Lakewood Ct, Apt. 3, Moriches, NY 11955-2011 | 2014-02-18 |
| 1235474149 | Kerri Ann Foley Walsh | Licensed Practical Nurse | 15 Mirror Ln, Apt. 2, Moriches, NY 11955-2115 | 2012-12-04 |
| 1659662724 | Tinyamarie Lopez | Licensed Practical Nurse | 54 Mistypond Circle, 6, Moriches, NY 11955-1117 | 2011-04-25 |
| 1023329984 | Lindsey Allison Gutierrez | Licensed Practical Nurse | 71 Lakewood Ct, Moriches, NY 11955-2056 | 2010-06-25 |
| 1538481452 | Nachica Owens | Licensed Practical Nurse | 59 Misty Pond Cir, Apt 8, Moriches, NY 11955-1131 | 2010-02-19 |
| 1801125026 | Amanda T L Delarosa | Licensed Practical Nurse | 57 Misty Pond Cir, Apt 7, Moriches, NY 11955-1125 | 2009-12-17 |
| 1386001618 | Sally E Mannix | Licensed Practical Nurse | 8 Lilly Ct, Moriches, NY 11955-1910 | 2016-01-17 |
| 1831533777 | Jacqueline Paglia | Licensed Practical Nurse | 1 Cedar St, Moriches, NY 11955-1410 | 2013-04-22 |
| Find all providers in MORICHES | ||||
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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.