MRS. JENNIFER DERRICK (NPI# 1619359494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619359494 |
Entity Type | Individual |
Full Name | MRS. JENNIFER DERRICK |
Credential | LPN |
Practice Address |
615 Avenue C Brooklyn NY 11218-4101 |
Mailing Address |
960 Rogers Ave 3rd Fl Brooklyn NY 11226-9604 |
Practice Telephone | 7186333300 |
Mailing Telephone | 7184696418 |
Enumeration Date | 2015-06-29 |
Last Update Date | 2015-06-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 270557-1 | NY | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700083680 | Jennifer L Derrick | Emergency Medicine | 1025 Marsh St, Mankato, MN 56001 | 2007-07-02 |
Street Address |
615 AVENUE C |
City | BROOKLYN |
State | NY |
Zip Code | 11218-4101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295772010 | The Palm Gardens Center for Nursing and Rehabilitation | Custodial Care Facility | 615 Avenue C, Brooklyn, NY 11218-4101 | 2006-06-01 |
1578968582 | Palm Gardens Dialysis Center LLC | Clinic/Center | 615 Avenue C, Brooklyn, NY 11218-4101 | 2014-11-03 |
1477789782 | Palm Gardens Adult Day Care | Clinic/Center | 615 Avenue C, Brooklyn, NY 11218-4101 | 2009-06-02 |
1730345745 | Gifty Joycelyn Appiah | Nurse Practitioner | 615 Avenue C, Brooklyn, NY 11218-4101 | 2008-07-30 |
1134390321 | Palm Gardens Care Center LLC | Skilled Nursing Facility | 615 Avenue C, Brooklyn, NY 11218-4101 | 2008-03-17 |
1801980800 | Palm Gardens Adult Day Care | Clinic/Center | 615 Avenue C, Brooklyn, NY 11218-4101 | 2006-10-03 |
1184729592 | Jadee Lyn Torres | Physical Therapist | 615 Avenue C, Brooklyn, NY 11215-3689 | 2006-09-13 |
1437266715 | Jane Lagunilla | Physical Therapist | 615 Avenue C, Brooklyn, NY 11215-3689 | 2006-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578161410 | Sigit LLC | In Home Supportive Care | 1132 39 St, Basement, Brooklyn, NY 11218 | 2020-10-13 |
1073127338 | Mushka Sternbach | Specialist | 312-38 Street, Brooklyn, NY 11218 | 2020-09-03 |
1659989614 | Sara Montag | Specialist | Yeled V'yaldas 1312 38th Street, Brooklyn, NY 11218 | 2020-07-16 |
1922626936 | Benzion Fuhrer | Specialist | Yeled Vyalda, 1312 38 St, Brooklyn, NY 11218 | 2020-07-07 |
1326665209 | Sara Rosenberg | Specialist | Yeled V' Yalda, 1312-38 Street, Brooklyn, NY 11218 | 2020-06-26 |
1831714690 | Estee Goldberg-lieblich | Specialist | Y'eled V'yalda, 1312 38th St., Brooklyn, NY 11218 | 2020-06-08 |
1659915213 | Esther M Schon | Specialist | Yeled V'yalda's 1312- 38 Street, Brooklyn, NY 11218 | 2019-11-06 |
1902464597 | Malky Wallerstein | Specialist | Yeled V'yalda's 1312 38th Street, Brooklyn, NY 11218 | 2019-05-30 |
1457817900 | Rut Munk | Specialist | Yeled V' Yalda's, 1312 38 Street, Brooklyn, NY 11218 | 2019-02-20 |
1073089405 | Bracha Yagudaev | Specialist | Yeled V'yalda's 1312-38 Street, Brooklyn, NY 11218 | 2018-10-24 |
Find all providers in zip 11218 |
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 |
---|---|---|---|---|
1952901456 | Raven Nichole Bagy | Licensed Practical Nurse | 45 Twin Pines Dr Apt 10a, Brooklyn, NY 11239-1804 | 2020-10-26 |
1982203998 | Troy Conliffe | Licensed Practical Nurse | 180 E 17th St, Brooklyn, NY 11226-4668 | 2020-10-21 |
1588263883 | Kimberley Wiltshire | Licensed Practical Nurse | 1336 President St, Brooklyn, NY 11213-4238 | 2020-10-19 |
1053919639 | Elna Remy | Licensed Practical Nurse | 1639 Hendrickson St, Brooklyn, NY 11234-4315 | 2020-10-15 |
1518565183 | Tamara Jessica Lawrence | Licensed Practical Nurse | 1482 Lincoln Pl Apt 7, Brooklyn, NY 11213-4137 | 2020-10-15 |
1740896414 | Sarahbeth Boyd | Licensed Practical Nurse | 196 Rockaway Pkwy, Brooklyn, NY 11212-3400 | 2020-09-18 |
1205441540 | Ademola Ojo-adesoye | Licensed Practical Nurse | 381 Milford St, Brooklyn, NY 11208-3853 | 2020-09-14 |
1366057614 | Jacqueline Bourdeau | Licensed Practical Nurse | 2415 Newkirk Ave, Brooklyn, NY 11226-7622 | 2020-09-14 |
1194339572 | Elveta Bamberry | Licensed Practical Nurse | 596 E 87th St, Brooklyn, NY 11236-3229 | 2020-09-03 |
1508479650 | Ivrance Petigny | Licensed Practical Nurse | 8419 Avenue N, Brooklyn, NY 11236-5109 | 2020-08-28 |
Find all providers in BROOKLYN |
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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.