TAKARA PETERSON (NPI# 1518481167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518481167 |
| Entity Type | Individual |
| Full Name | TAKARA PETERSON |
| Practice Address |
2606 Snake Hill Rd New Windsor NY 12553-4849 |
| Practice Telephone | (718) 828-2666 |
| Mailing Telephone | 7188282666 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 291310 | NY | Nursing Service Providers |
| Street Address |
2606 SNAKE HILL RD |
| City | NEW WINDSOR |
| State | NY |
| Zip Code | 12553-4849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578080891 | Trevon Solivan | Licensed Practical Nurse | 40 Cedar Lane Apt 2, New Windsor, NY 12553 | 2017-08-28 |
| 1336695097 | Toni Casiano | Licensed Practical Nurse | 1204 Corporal Tremblay Way, New Windsor, NY 12553 | 2016-08-31 |
| 1952765729 | Chelsea Burawa | Speech-Language Pathologist | Hudson Valley Speech and Swallowing Therapy, 815 Blooming Grove Turnpike, New Windsor, NY 12553 | 2016-04-07 |
| 1740656586 | Juliana F Fiore | Physical Therapist | 219 Blooming Grove Turnpike, New Windsor, NY 12553 | 2015-08-17 |
| 1629472857 | Maryellen Banker | Social Worker | 10 Kayleen Dr., Windsor Counseling Group, New Windsor, NY 12553 | 2014-10-17 |
| 1720488398 | Stacey Browne | Speech-Language Pathologist | 119 Winding Brook Ct, New Windsor, NY 12553 | 2014-09-02 |
| 1154731404 | Greenburgh - North Castle Ufsd/kaplan Career Academy | Local Education Agency (LEA) | 623 Blooming Grove Turnpike, New Windsor, NY 12553 | 2014-05-07 |
| 1427478114 | Julie Taft | Counselor | 1124 Ny Route 94, Suite 201, New Windsor, NY 12553 | 2014-04-21 |
| 1699199158 | Jessica G Veroline | Social Worker | 930 Raz Avenue, Arc of Orange County New Windsor Ple, New Windsor, NY 12553 | 2014-02-04 |
| 1316374762 | Aggies Full Beauty Salon | General Acute Care Hospital | 420 State Route 32, Vails Gate, NY 12553 | 2013-10-01 |
| Find all providers in zip 12553 | ||||
| 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 |
|---|---|---|---|---|
| 1023672557 | Vania Mondesir | Licensed Practical Nurse | 2004 Vails Gate Heights Dr, New Windsor, NY 12553-3502 | 2019-04-30 |
| 1497238687 | Marlene Mccartha | Licensed Practical Nurse | 3204 Route 9w Apt 13b, New Windsor, NY 12553-6780 | 2018-09-13 |
| 1346750551 | Ann-sheree Rogers | Licensed Practical Nurse | 327 Old Forge Hill Rd, New Windsor, NY 12553-7940 | 2017-10-03 |
| 1194235374 | Sierra Stephanie Moore | Licensed Practical Nurse | 10 Fernandez Ave, New Windsor, NY 12553-7109 | 2017-10-02 |
| 1578080891 | Trevon Solivan | Licensed Practical Nurse | 40 Cedar Lane Apt 2, New Windsor, NY 12553 | 2017-08-28 |
| 1235673575 | Bichara Paul | Licensed Practical Nurse | 2116 Vails Gate Heights Dr, New Windsor, NY 12553-3503 | 2016-12-06 |
| 1487101085 | Katie Lynn Sharp | Licensed Practical Nurse | 2608 Vails Gate Heights Dr, New Windsor, NY 12553-3509 | 2016-09-01 |
| 1336695097 | Toni Casiano | Licensed Practical Nurse | 1204 Corporal Tremblay Way, New Windsor, NY 12553 | 2016-08-31 |
| 1639521990 | Michelle Clemente | Licensed Practical Nurse | 276 Temple Hill Rd, New Windsor, NY 12553-6841 | 2016-07-11 |
| 1043609803 | Rebecca Lang | Licensed Practical Nurse | 3200 Route 9w, 2, New Windsor, NY 12553-6756 | 2015-01-16 |
| Find all providers in NEW WINDSOR | ||||
| City | NEW WINDSOR |
| Zip Code | 12553 |
Please comment or provide details below to improve the information on TAKARA PETERSON.
| 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.