MRS. JEAN RUSSO (NPI# 1720100233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720100233 |
| Entity Type | Individual |
| Full Name | MRS. JEAN RUSSO |
| Credential | LPN |
| Practice Address |
71 Keyes Rd Lisbon NY 13658-3204 |
| Practice Telephone | 3153937732 |
| Mailing Telephone | 3153937732 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 278222-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992023535 | Jean A. Russo | Nurse Practitioner | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2010-05-06 |
| 1255592184 | Jean Danielle Russo | Massage Therapist | 11222 Richmond Ave, Suite 210, Houston, TX 77082-6662 | 2008-06-23 |
| Street Address |
71 KEYES RD |
| City | LISBON |
| State | NY |
| Zip Code | 13658-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639514565 | Ernie S Cougler | Registered Nurse | 7016 County Route 10, Lisbon, NY 13658 | 2013-05-06 |
| 1598946378 | Barbara Ann Mcbath | Licensed Practical Nurse | 77 Maple Island Rd, Lisbon, NY 13658 | 2007-11-20 |
| 1942348982 | Lisbon Central School | Local Education Agency (LEA) | 6866 Cr 10, Lisbon, NY 13658-0039 | 2007-02-02 |
| 1871780379 | Lisbon Medical Group | Physician Assistant | 7016 Cty Rt 10, Lisbon, NY 13658-0176 | 2007-09-28 |
| 1740611425 | Lisbon Medical Group | Clinical Nurse Specialist | 7016 County Route 10, Lisbon, NY 13658-0176 | 2013-12-06 |
| 1316093974 | Dawn M Fields | Licensed Practical Nurse | 208 Dezell Rd, Lisbon, NY 13658-3105 | 2007-01-26 |
| 1073016572 | Jennifer Lynn Cole-warriner | Behavioral Analyst | 386 Murphy Rd, Lisbon, NY 13658-3175 | 2018-03-12 |
| 1922203850 | Terri Simzer | Physical Therapist | 125 Keyes Rd, Lisbon, NY 13658-3204 | 2007-06-20 |
| 1194809194 | Salvatore Micheal Puleo | Counselor | 10589 State Highway 37, Lisbon, NY 13658-3250 | 2006-10-25 |
| 1235304577 | John Schuyler Gammon II | Massage Therapist | 488 Bull Run Rd, Lisbon, NY 13658-3257 | 2008-04-28 |
| Find all providers in zip 13658 | ||||
| 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 |
|---|---|---|---|---|
| 1801040753 | Cinniamon Lane Hoover | Licensed Practical Nurse | 344 E Chestnut St, Lisbon, OH 44432-1316 | 2008-11-05 |
| 1598946378 | Barbara Ann Mcbath | Licensed Practical Nurse | 77 Maple Island Rd, Lisbon, NY 13658 | 2007-11-20 |
| 1316093974 | Dawn M Fields | Licensed Practical Nurse | 208 Dezell Rd, Lisbon, NY 13658-3105 | 2007-01-26 |
| 1912001231 | Hollis Ann Tataseo | Licensed Practical Nurse | 12435 Leslie Rd, Lisbon, OH 44432-9574 | 2006-09-08 |
| 1780216002 | Kathleen Ann Simon | Licensed Practical Nurse | 964 N Market St, Lisbon, OH 44432-9363 | 2020-02-05 |
| 1245792290 | Lori Lee Arbogast | Licensed Practical Nurse | 40722 State Route 154, Lisbon, OH 44432-8500 | 2019-04-01 |
| 1609327360 | Mary Ellen Miller | Licensed Practical Nurse | 40722 State Route 154, Lisbon, OH 44432-8500 | 2016-10-18 |
| 1740739077 | Jacob Kampfer | Licensed Practical Nurse | 40722 State Route 154, Lisbon, OH 44432-8500 | 2016-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| 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.