MISS LISA MARIE MIRABITO (NPI# 1366627549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366627549 |
| Entity Type | Individual |
| Full Name | MISS LISA MARIE MIRABITO |
| Credential | LPN |
| Practice Address |
23 Perry Ave Bayville NY 11709-2603 |
| Practice Telephone | 6316971191 |
| Mailing Telephone | 6316971191 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 1419841 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01447447 | 05 |
| Street Address |
23 PERRY AVE |
| City | BAYVILLE |
| State | NY |
| Zip Code | 11709-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659898500 | Christina Tenaglia | Speech-Language Pathologist | 33 Satinwood Rd, Bayville, NY 11709 | 2017-08-22 |
| 1124214531 | Susan Larrick I | Speech-Language Pathologist | 33 East Slope Rd, Bayville, NY 11709 | 2007-09-19 |
| 1407078660 | Randolph Brooks Ecton | Counselor | 24 5th St., Bayville, NY 11709 | 2007-05-03 |
| 1760554950 | Charles J Valicenti | Dentist | 242 Bayville Ave, Bayville, NY 11709 | 2006-11-14 |
| 1407860463 | Jill Karen Smarrelli | Social Worker | 314 B Bayville Ave, Bayville, NY 11709 | 2006-07-27 |
| 1609902378 | David S Lippman | Dentist | 242 Bayville Ave, Bayville, NY 11709 | 2007-02-26 |
| 1255401626 | Carol Anne Picano | Social Worker | 85 Bayville Ave, Bayville, NY 11709 | 2006-11-09 |
| 1487018537 | Kermaan Mehta | Student in an Organized Health Care Education/Training Program | 7 Beaver Dr, Bayville, NY 11709-1001 | 2016-04-05 |
| 1679046551 | Gail Molloy | Counselor | 27 Quannacut Dr, Bayville, NY 11709-1006 | 2019-01-03 |
| 1033266341 | Peter D Curcio | Chiropractor | 6 Donald St, Bayville, NY 11709-1019 | 2007-01-05 |
| Find all providers in zip 11709 | ||||
| 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 |
|---|---|---|---|---|
| 1083100762 | Amber Lynn Battaglia | Licensed Practical Nurse | 147 Huntley Ave, Bayville, NJ 08721-1317 | 2018-07-06 |
| 1699936484 | Melissa Minarik | Licensed Practical Nurse | 2 Galleon Ct, Bayville, NJ 08721-3810 | 2008-06-24 |
| 1922289230 | Theresa Glynn | Licensed Practical Nurse | 67 Scott Dr, Bayville, NJ 08721-1224 | 2007-11-15 |
| 1205325768 | Breanna Mariah Wood | Licensed Practical Nurse | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2018-05-09 |
| 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.