KATELYNN E JACKSON (NPI# 1477086775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477086775 |
| Entity Type | Individual |
| Full Name | KATELYNN E JACKSON |
| Credential | LPN |
| Practice Address |
101 William St Lyons NY 14489-1553 |
| Practice Telephone | 3157197233 |
| Mailing Telephone | 3157197233 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 325970 | NY | Nursing Service Providers |
| Street Address |
101 WILLIAM ST |
| City | LYONS |
| State | NY |
| Zip Code | 14489-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645623 | Tracy Merlau | Social Worker | Wbhn, 1519 Nye Road, Suite 110, Lyons, NY 14489 | 2019-02-15 |
| 1871069005 | Mary P. Hutchings | Licensed Practical Nurse | 1489 Jackson Road, Lyons, NY 14489 | 2018-10-15 |
| 1235501529 | Connie Sue Fuller | Registered Nurse | 2104 Maple Street Rd, Lyons, NY 14489 | 2015-10-26 |
| 1033480645 | Kathleen R Hayes | Registered Nurse | 10 Clyde Rd., Lyons, NY 14489 | 2012-01-13 |
| 1871878751 | Amy H Smith | Psychologist | 1519 Nye Raod, Lyons, NY 14489 | 2011-10-11 |
| 1588996169 | Faith Erica Mcdonald | Licensed Practical Nurse | 12 Jacksn St, Apt 2, Lyons, NY 14489 | 2010-02-05 |
| 1255463261 | Nicole Jennifer Yager | Counselor | Wayne Behavioral Heatlh Network, 1519 Nye Road, Lyons, NY 14489 | 2007-03-12 |
| 1154466639 | Debra Lee Woodworth Fiori | Counselor | Wayne Behavioral Health Netowork, 1519 Nye Road, Lyons, NY 14489 | 2007-02-21 |
| 1124163829 | Joan M Kovachi | Registered Nurse | Wayne Behavioral Health Network, 1519 Nye Road, Lyons, NY 14489 | 2007-02-20 |
| 1306932645 | Kimberly F Mccaffrey | Speech-Language Pathologist | 159 Montezuma Street, Lyons, NY 14489 | 2006-10-05 |
| Find all providers in zip 14489 | ||||
| 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 |
|---|---|---|---|---|
| 1063981330 | Bob Molina | Licensed Practical Nurse | 117 William St, Lyons, NY 14489-1553 | 2018-11-16 |
| 1871069005 | Mary P. Hutchings | Licensed Practical Nurse | 1489 Jackson Road, Lyons, NY 14489 | 2018-10-15 |
| 1083079644 | Tina Yvette Foster | Licensed Practical Nurse | 7422 Sapp Rd, Lyons, NY 14489-9776 | 2015-12-28 |
| 1013397926 | Mary Boswell | Licensed Practical Nurse | 13 Spencer St, Lyons, NY 14489-1422 | 2015-06-05 |
| 1801286133 | Evette Riggins | Licensed Practical Nurse | 10 Rice St, Lyons, NY 14489-1024 | 2015-01-26 |
| 1235549643 | Andrea Morgan | Licensed Practical Nurse | 4293 Wayne Center Rd, Lyons, NY 14489-9376 | 2014-05-07 |
| 1558603936 | Robert Battle | Licensed Practical Nurse | 54 Elmer St, Lyons, NY 14489-1320 | 2013-03-22 |
| 1104107804 | Eun Joo K Henry | Licensed Practical Nurse | 9 Sunset Dr, Lyons, NY 14489-1031 | 2011-09-08 |
| 1588950794 | Shelley M Sloane | Licensed Practical Nurse | 8073 Alloway Rd, Lyons, NY 14489-9714 | 2011-06-26 |
| 1942509757 | Wilber Mahar Jr. | Licensed Practical Nurse | 50 Catherine St, Apt. B, Lyons, NY 14489-1534 | 2011-03-18 |
| Find all providers in LYONS | ||||
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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.