LISA ANN MICCIO (NPI# 1699261511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699261511 |
| Entity Type | Individual |
| Full Name | LISA ANN MICCIO |
| Credential | LPN |
| Practice Address |
764 Birchwood Dr Duanesburg NY 12056-4207 |
| Practice Telephone | 5183626292 |
| Mailing Telephone | 5183626292 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 165690-1 | NY | Nursing Service Providers |
| Street Address |
764 BIRCHWOOD DR |
| City | DUANESBURG |
| State | NY |
| Zip Code | 12056-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879687 | Duane Avenue Dental Care, PC | Dentist | 181 Duane Avenue, Duanesburg, NY 12056 | 2020-07-24 |
| 1538252606 | Raymond E Traver Jr. | Dentist | 6296 Duanesburg Road, Duanesburg, NY 12056 | 2006-10-02 |
| 1285660043 | Ze'ev W Weitz | Internal Medicine | 5083 Western Turnpike, Duanesburg, NY 12056 | 2006-06-24 |
| 1235173154 | Christopher James Magil | Physical Therapist | 4780 Duanesburg Road, Duanesburg, NY 12056 | 2006-06-15 |
| 1891333423 | Szymczak and Evans Family General Dentistry, PC | Dentist | 6296 Duanesburg Road, Duanesburg, NY 12056 | 2019-12-13 |
| 1194957134 | Rebecca Kristen Szymczak Evans | Dentist | 6296 Duanesburg Road, Duanesburg, NY 12056 | 2009-08-09 |
| 1093983538 | Duanesburg Physical Therapy, Pllc | Clinic/Center | 4780 Duanesburg Road, Duanesburg, NY 12056 | 2008-02-19 |
| 1619158284 | David A Stasko | Dentist | 181 Duane Ave, Duanesburg, NY 12056-0177 | 2007-11-23 |
| 1467094086 | Rebecka Cox | Occupational Therapist | 6991 Duanesburg Rd, Duanesburg, NY 12056-1814 | 2019-10-15 |
| 1215180484 | Sarah Jane Elbell | Physical Therapist | 518 Suits Rd, Duanesburg, NY 12056-3504 | 2008-10-31 |
| Find all providers in zip 12056 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
|---|---|---|---|---|
| 1699380071 | Carol A Sustache | Licensed Vocational Nurse | 407 Grand Ave, Syracuse, NY 13204-2711 | 2020-09-11 |
| 1619591484 | Marcia Laki Wright | Licensed Vocational Nurse | 500, 500 Hahnemann Trail, Pittsford, NY 14532 | 2020-06-08 |
| 1306471792 | Amanda Ferrell | Licensed Vocational Nurse | 1196 County 23 Lot 7, Phelps, NY 14532 | 2020-03-06 |
| 1033758289 | Alexa Rose | Licensed Vocational Nurse | 9 Wichard Dr, Oakdale, NY 11769-1513 | 2020-01-04 |
| 1972148658 | Rhonda Irene Petrone | Licensed Vocational Nurse | 162 Merrill St, Rochester, NY 14615-2324 | 2019-11-17 |
| 1205470028 | Kayon Haynes | Licensed Vocational Nurse | 11433 194th St, Saint Albans, NY 11412-2741 | 2019-11-05 |
| 1477103844 | Vanessa Marie Vargas | Licensed Vocational Nurse | 94 Shepard Ave Lowr, Kenmore, NY 14217-1914 | 2019-09-17 |
| 1639723174 | Jamie Zena Morris | Licensed Vocational Nurse | 1372 Sterling Pl B2, Brooklyn, NY 11213 | 2019-08-01 |
| 1093278558 | Alima Abdoulaye | Licensed Vocational Nurse | 1525 Walton Ave Apt 5f, Bronx, NY 10452-6143 | 2019-04-11 |
| 1093271090 | Chantal L Fitzgerald | Licensed Vocational Nurse | 3995 Rt 14a, Reading Center, NY 14876-0073 | 2019-02-14 |
| Find all providers with the same taxonomy | ||||
| City | DUANESBURG |
| Zip Code | 12056 |
Please comment or provide details below to improve the information on LISA ANN MICCIO.
| 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.