KELLY MARIE LABOUF (NPI# 1346777612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346777612 |
| Entity Type | Individual |
| Full Name | KELLY MARIE LABOUF |
| Other Name | KELLY JANACK |
| Practice Address |
393 Wagner St Lot 81 Waterloo NY 13165-6709 |
| Practice Telephone | 6076625705 |
| Practice Fax Number | 6076625705 |
| Mailing Telephone | 6076625705 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 284963 | NY | Nursing Service Providers |
| Street Address |
393 WAGNER ST LOT 81 |
| City | WATERLOO |
| State | NY |
| Zip Code | 13165-6709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284848 | Mary Reese | Registered Nurse | 31 Thurber Drive, Waterloo, NY 13165 | 2017-06-08 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 1770803918 | Shelley Reeland | Massage Therapist | 1388 Rt 96 N, Waterloo, NY 13165 | 2010-06-10 |
| 1275856031 | Yecham Kumaraswamy | Pharmacist | 1963 Route 5&20 Street, Waterloo, NY 13165 | 2010-03-09 |
| 1801128632 | David Edward Janack | Pharmacist | 1860 North Road, Waterloo, NY 13165 | 2010-02-04 |
| 1336476753 | Laura Jane Miccuci | Pharmacist | 1963 Routes 5 & 20, Waterloo, NY 13165 | 2009-11-05 |
| 1528203759 | Joanne Farula Corey | Speech-Language Pathologist | 2932 Rt. 96, Waterloo, NY 13165 | 2008-12-02 |
| Find all providers in zip 13165 | ||||
| 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 |
|---|---|---|---|---|
| 1699335141 | Stephanie Lynne Leddy | Licensed Practical Nurse | 3815 Yost Rd, Waterloo, NY 13165-9771 | 2019-06-17 |
| 1336683192 | Christine A Statom | Licensed Practical Nurse | 10457 Highway 221 S, Waterloo, SC 29384-3910 | 2016-12-14 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1467837054 | Emilie Benisch | Licensed Practical Nurse | 362 Crestview Dr, Waterloo, WI 53594-1011 | 2015-07-23 |
| 1346629425 | Shannon Bailey-bradley | Licensed Practical Nurse | 119 Stark St, Waterloo, NY 13165-8797 | 2015-05-22 |
| 1528485315 | Christine Elizabeth Butzine | Licensed Practical Nurse | 1020 Portland Rd, Waterloo, WI 53594-9705 | 2014-03-18 |
| 1538433883 | Denise M Harris | Licensed Practical Nurse | 71 E River St, Waterloo, NY 13165-1737 | 2012-03-05 |
| 1659655348 | Kimberly Elaine Cohens | Licensed Practical Nurse | 402 Railroad Ave, Waterloo, NY 13165-1004 | 2011-09-29 |
| 1467746610 | Rebecca L Christian | Licensed Practical Nurse | 184 County Road Tv, Waterloo, WI 53594-9503 | 2011-06-06 |
| 1043516271 | Charity Lynn Moran | Licensed Practical Nurse | 778 Waterloo Geneva Rd, Waterloo, NY 13165-1261 | 2011-02-05 |
| Find all providers in WATERLOO | ||||
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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.