KHADIJAH LATISSE THERESA SIMMONDS (NPI# 1518326446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518326446 |
| Entity Type | Individual |
| Full Name | KHADIJAH LATISSE THERESA SIMMONDS |
| Other Name | KHADIJAH LATISSE THERESA SIMMONDS |
| Credential | CNA |
| Practice Address |
159 Johnston St Newburgh NY 12550-4523 |
| Practice Telephone | 8452198402 |
| Mailing Telephone | 8452198402 |
| Enumeration Date | 2016-02-20 |
| Last Update Date | 2016-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | 343272180612E | NY | Nursing Service Related Providers |
| Street Address |
159 JOHNSTON ST |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-4523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720494727 | Nport | Skilled Nursing Facility | 159 Johnston St, Newburgh, NY 12550-4523 | 2014-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) 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 |
|---|---|---|---|---|
| 1003270885 | Elizabeth Alvarez | Nurse's Aide | 8 Ohio Dr, Newburgh, NY 12550-1858 | 2016-04-07 |
| 1992943831 | Michael James Rupert Sr. | Nurse's Aide | 7099 Woods Dr, Newburgh, IN 47630-1809 | 2009-01-30 |
| 1043792229 | Courtney Banks | Nurse's Aide | 21 Maine Dr, Newburgh, NY 12550-1886 | 2018-09-04 |
| 1437540036 | Cynthia Thompson | Nurse's Aide | 3 Commercial Pl, Newburgh, NY 12550-5306 | 2015-02-18 |
| 1326439928 | Madeline Rodriguez | Nurse's Aide | 3 Commercial Pl, Newburgh, NY 12550-5306 | 2015-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467820 | Denise Leslie Winter | Nurse's Aide | 296 Wall St, Hannibal, NY 13074-2120 | 2020-11-03 |
| 1144828278 | Antoine Craig | Nurse's Aide | 33 Lincoln Rd, Patchogue, NY 11772-1728 | 2020-10-12 |
| 1336746395 | J & M Companion Services LLC | Nurse's Aide | 42 Stuyvesant St, Brentwood, NY 11717-1523 | 2020-10-02 |
| 1821604091 | Lesline Agatha Isaacs Sr. | Nurse's Aide | 1178 Brooklyn Ave, Brooklyn, NY 11203-5113 | 2020-09-22 |
| 1336764315 | Crystal Ramirez | Nurse's Aide | 540 W 165th St Apt 4h, New York, NY 10032-4907 | 2020-06-15 |
| 1295362705 | Taurean Hawkins | Nurse's Aide | 101 Sumner Pl, Staten Island, NY 10301-2239 | 2020-03-25 |
| 1811535875 | Heather M Jenks | Nurse's Aide | 40 Mcintyre St Apt C2, Fort Edward, NY 12828-1644 | 2019-12-20 |
| 1073159927 | Isaiah Franklin | Nurse's Aide | 100 Terrace Ave Apt 127, Hempstead, NY 11550-2318 | 2019-11-25 |
| 1528604014 | Delores Tawana Andrews | Nurse's Aide | 17 6th Ave Apt B, Huntington Station, NY 11746-2205 | 2019-11-20 |
| 1073161170 | Ashanti N Jenkins | Nurse's Aide | 406 Milton Ave, Syracuse, NY 13204-1930 | 2019-09-01 |
| 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.