MS. SAMANTHA ANN FEDORKA (NPI# 1588910160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588910160 |
| Entity Type | Individual |
| Full Name | MS. SAMANTHA ANN FEDORKA |
| Credential | LPN |
| Practice Address |
243 Eastwood Blvd Centereach NY 11720-2534 |
| Practice Telephone | 6313387307 |
| Mailing Telephone | 6313387307 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 302490 | NY | Nursing Service Providers |
| Street Address |
243 EASTWOOD BLVD |
| City | CENTEREACH |
| State | NY |
| Zip Code | 11720-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409087 | Carolyn Barravecchio | Marriage & Family Therapist | 35 South Kennedy Drive, Centereach, NY 11720 | 2019-10-28 |
| 1588158406 | Robin Smith | Social Worker | 129 Dawn Drive, Centereach, NY 11720 | 2018-06-15 |
| 1154820553 | Amanda Grodewald-adler, Psy.d., Pllc | Clinic/Center | 1919 Middle Country Rd Ste 308, Centereach, NY 11720 | 2018-02-12 |
| 1760901144 | Gabrielle Tatiana Zutter | Behavior Technician | 23 Jay Road, Centerach, NY 11720 | 2017-09-16 |
| 1619401544 | Michelle Leblanc | Licensed Practical Nurse | 8 Catalina Ct, Centerreach, NY 11720 | 2017-04-18 |
| 1023557212 | Alexa Brooke Ruggiero | Student in an Organized Health Care Education/Training Program | 30 Strathmore Village Dr, South Setauket, NY 11720 | 2017-02-21 |
| 1336539519 | Rosemarie Bruno | Social Worker | 3771 Nesconset Hwy Ste 102a, South Setauket, NY 11720 | 2015-01-27 |
| 1225446115 | Kristen Kunkel | Specialist/Technologist | 26 Lily Dr, South Setauket, NY 11720 | 2014-07-24 |
| 1497175897 | Jacqueline Maddox | Student in an Organized Health Care Education/Training Program | 11 43rd Street, Centereach, NY 11720 | 2014-04-24 |
| 1336492370 | Valentina Blaine | Optometrist | 1958 Middle Country Rd, Centereach, NY 11720 | 2012-10-15 |
| Find all providers in zip 11720 | ||||
| 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 |
|---|---|---|---|---|
| 1346855970 | Angela Pat Parente | Licensed Practical Nurse | 111 Wagon Ln, Centereach, NY 11720-2531 | 2020-09-10 |
| 1689232084 | Michelle Loper | Licensed Practical Nurse | 7 Heather Ct, Centereach, NY 11720-3077 | 2019-05-31 |
| 1871089250 | Gabriella Marie Teixeira | Licensed Practical Nurse | 29 Chatham Woods Dr, Centereach, NY 11720-4001 | 2018-07-09 |
| 1265814677 | Glenda Stroud | Licensed Practical Nurse | 36 Marlin Rd, Centereach, NY 11720-3012 | 2015-06-22 |
| 1124420104 | Julianne Purpura | Licensed Practical Nurse | 138-3 Rustic Rd, Centereach, NY 11720-6008 | 2014-09-22 |
| 1801205851 | Kathleen Mcbride | Licensed Practical Nurse | 20 Brookville Dr, Centereach, NY 11720-3030 | 2014-08-04 |
| 1467869644 | Jennifer Sanders | Licensed Practical Nurse | 97 Oxhead Rd, Centereach, NY 11720-2160 | 2014-07-19 |
| 1952640203 | Jennifer M Passarella | Licensed Practical Nurse | 102 Woodview Ln, Centereach, NY 11720-4060 | 2013-02-06 |
| 1245583202 | Joseph William Boccio | Licensed Practical Nurse | 130 S Coleman Rd, Centereach, NY 11720-4410 | 2012-10-16 |
| 1780941476 | Laura Elizabeth Brady | Licensed Practical Nurse | 52 Somerset St, Centereach, NY 11720-4129 | 2012-04-18 |
| Find all providers in CENTEREACH | ||||
| City | CENTEREACH |
| Zip Code | 11720 |
Please comment or provide details below to improve the information on MS. SAMANTHA ANN FEDORKA.
| 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.