SHAKIM RIVERA (NPI# 1437524758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437524758 |
| Entity Type | Individual |
| Full Name | SHAKIM RIVERA |
| Practice Address |
445 Furrows Road Box 443 Holbrook NY 11741 |
| Mailing Address |
445 Furrows Rd 443 Holbrook NY 11741-7000 |
| Practice Telephone | 6313468397 |
| Mailing Telephone | 6313468397 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 10-299253 | NY | Nursing Service Providers |
| Street Address |
445 FURROWS ROAD BOX 443 |
| City | HOLBROOK |
| State | NY |
| Zip Code | 11741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1437630258 | Church Street Acupuncture Pllc | Acupuncturist | 1720 Church St, Holbrook, NY 11741 | 2018-08-29 |
| 1780191288 | Mid-island Speech Language Pathology, Pllc | Speech-Language Pathologist | 24 Donald Street, Holbrook, NY 11741 | 2018-01-05 |
| 1871013177 | Melissa Blom | Massage Therapist | 19 Charles Ave, Holbrook, NY 11741 | 2017-06-27 |
| 1215392329 | Laura Glotzer | Registered Nurse | 812 Greenbelt Pkwy W, Holbrook, NY 11741 | 2015-12-17 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1003298233 | Eileen M Murphy | Early Intervention Provider Agency | 1606 Grundy Avenue, Holbrook, NY 11741 | 2015-06-24 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1396173258 | Valerie Guidone | Registered Nurse | 24 Gainsborough Rd, Holbrook, NY 11741 | 2013-10-30 |
| 1184979916 | Jeanine Rotolo | Specialist | 228 Glensummer Rd, Holbrook, NY 11741 | 2012-07-18 |
| Find all providers in zip 11741 | ||||
| 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 |
|---|---|---|---|---|
| 1437708013 | Kayana Sutherland | Licensed Practical Nurse | 162 Avenue E, Holbrook, NY 11741-2329 | 2019-09-06 |
| 1023571189 | Rachael Cabble | Licensed Practical Nurse | 18 Hyacinth Ln, Holbrook, NY 11741-1912 | 2019-04-07 |
| 1700358983 | Kristina Elizabeth Mullaly | Licensed Practical Nurse | 338 Raft Ave, Holbrook, NY 11741-5908 | 2018-12-27 |
| 1700352663 | Briana Lynn Bancroft | Licensed Practical Nurse | 364 Twinbark Ave, Holbrook, NY 11741-5722 | 2018-10-18 |
| 1013490440 | Julia Ann Andrechuk | Licensed Practical Nurse | 31 Westbridge Dr, Holbrook, NY 11741-5309 | 2018-09-11 |
| 1649705229 | Jennifer Myers | Licensed Practical Nurse | 104 Moonlight Walk, 104, Holbrook, NY 11741-4923 | 2017-04-20 |
| 1407391899 | Andrea Sosa | Licensed Practical Nurse | 713 Spruce Dr, Holbrook, NY 11741-4458 | 2016-12-21 |
| 1376087361 | Ashley Delvalle | Licensed Practical Nurse | 184 Pauline St, Holbrook, NY 11741-3724 | 2016-12-09 |
| 1609234541 | Jennifer Delucia | Licensed Practical Nurse | 7 Kocsis St, Holbrook, NY 11741-2003 | 2016-02-06 |
| 1043677057 | Tabitha A Mass | Licensed Practical Nurse | 497 Coates Ave, Holbrook, NY 11741-6005 | 2016-01-21 |
| Find all providers in HOLBROOK | ||||
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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.