MRS. KIMBERLY H WATERBURY (NPI# 1467865105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467865105 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY H WATERBURY |
| Credential | L.P.N. |
| Practice Address |
106 New Hwy Commack NY 11725-4217 |
| Practice Telephone | 6318852040 |
| Mailing Telephone | 6318852040 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 318598 | NY | Nursing Service Providers |
| Street Address |
106 NEW HWY |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| 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 |
|---|---|---|---|---|
| 1497311088 | Bryan Ortiz | Licensed Practical Nurse | 16 Havemeyer Ln, Commack, NY 11725-2032 | 2019-05-20 |
| 1588175236 | Bennesa Julie Burbatsky | Licensed Practical Nurse | 26 Raybor Rd, Commack, NY 11725-4412 | 2017-10-21 |
| 1700167459 | Marijean Digirolamo | Licensed Practical Nurse | 37 Havemeyer Ln, Commack, NY 11725-2031 | 2011-09-07 |
| 1033400395 | Linda K. Cerabone | Licensed Practical Nurse | 31 Timber Ridge Dr, Commack, NY 11725-1738 | 2011-04-21 |
| 1366688038 | Victoria E Biolsi | Licensed Practical Nurse | 9 Sugarwood Ln, Commack, NY 11725-3223 | 2008-12-30 |
| 1699925511 | Christine Cetrangol | Licensed Practical Nurse | 2 Alice Ln, Commack, NY 11725-3103 | 2008-09-27 |
| 1154597102 | Monalisa Aydin | Licensed Practical Nurse | 50 Hauppauge Rd, Commack, NY 11725-4403 | 2008-04-30 |
| 1922144047 | Susan R Kalish | Licensed Practical Nurse | 35 Ramsey Road, Commack, NY 11725 | 2007-01-29 |
| 1184282006 | Cinceria Geraldine Parkinson | Licensed Practical Nurse | 9 Smiths Ln, Commack, NY 11725-3510 | 2019-06-05 |
| 1225496243 | Victoria C Tatosian Schwartz | Licensed Practical Nurse | 35 Ramsey Rd, Commack, NY 11725-1101 | 2016-02-04 |
| Find all providers in COMMACK | ||||
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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.