NIGHTINGALE NURSE PRACTITIONER FAMILY PRACTICE, PC (NPI# 1790120061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790120061 |
| Entity Type | Organization |
| Organization Name | NIGHTINGALE NURSE PRACTITIONER FAMILY PRACTICE, PC |
| Practice Address |
2280 N Ocean Ave Farmingville NY 11738-2911 |
| Practice Telephone | 6312828450 |
| Mailing Telephone | 6312828450 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | DAISY MEDINA-KREPPEIN I (OWNER) |
| Authorized Official Telephone | 9177965088 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2280 N OCEAN AVE |
| City | FARMINGVILLE |
| State | NY |
| Zip Code | 11738-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656112 | Daisy Medina-kreppein | Registered Nurse | 2280 N Ocean Ave, Inside Kmart, Farmingville, NY 11738-2911 | 2005-08-12 |
| 1366904484 | Bibi M Khan | Pharmacist | 2280 N Ocean Ave, Farmingville, NY 11738 | 2019-04-05 |
| 1073001343 | City Medical of Upper East Side, Pllc | Clinic/Center | 2280 N Ocean Ave, Farmingville, NY 11738-2911 | 2018-04-23 |
| 1083112874 | Roderick Dodoo | Respiratory Therapist, Registered | 2280 N Ocean Ave, Farmingville, NY 11738-2911 | 2018-01-26 |
| 1154720506 | Corinne Craig Pena | Physician Assistant | 2280 N Ocean Ave, Farmingville, NY 11738-2911 | 2014-08-21 |
| 1548679061 | Abimbola Ojurongbe | Nurse Practitioner | 2280 N Ocean Ave, Farmingville Kmart, Farmingville, NY 11738-2911 | 2014-08-08 |
| 1114330644 | Tatiara Alexandra Werner | Family Medicine | 2280 N Ocean Ave, Farmingville, NY 11738-2911 | 2014-06-02 |
| 1881027589 | Katlyn M Lavin | Physician Assistant | 2280 N Ocean Ave, Farmingville, NY 11738-2911 | 2013-08-16 |
| 1770805475 | Sangeoun Lee | Pharmacist | 2280 N Ocean Ave, Farmingville, NY 11738-2911 | 2010-02-22 |
| 1235399502 | Dawn Yumi Tottenham | Emergency Medicine | 2280 N Ocean Ave, Farmingville, NY 11738-2911 | 2008-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696408 | Kimberly Barbara Mccleary | Registered Nurse | 56 Woodycrest Drive, Farmingville, NY 11738 | 2018-04-19 |
| 1992210231 | Cs Medical Associates, PC | Family Medicine | 100 Granny Road, Suite 2, Farmingville, NY 11738 | 2017-12-08 |
| 1558882522 | Mili Biju | Registered Nurse | 400h Horseblock Road, Suite H, Farmingville, NY 11738 | 2017-06-29 |
| 1184083040 | Patrick O'reilly | Speech-Language Pathologist | 1 Mount Bear Ct, Farmingville, NY 11738 | 2016-02-19 |
| 1780055004 | Nicole Coscia | Specialist | 62 Roberta Ave, Farmingville, NY 11738 | 2015-10-13 |
| 1619313178 | Grace Propper | Nurse Practitioner | 2880 North Ocean Ave, Farmingville, NY 11738 | 2013-05-10 |
| 1952619165 | Shari Ann Pittaro | Occupational Therapy Assistant | 17 1st St, Farmingville, NY 11738 | 2010-09-22 |
| 1134377815 | Sylvia Sayer | Social Worker | 90 Bershire Drive, Farmingville, NY 11738 | 2008-09-05 |
| 1053590018 | Amy G Berk | Registered Nurse | 12 Columbus Ave, Farmingville, NY 11738 | 2007-10-26 |
| 1912069147 | Kathy Rey | Physician Assistant | 450 Clarkson Ave Box 49, Suny-downstate Medical Center, Brooklyn, NY 11738 | 2006-12-14 |
| Find all providers in zip 11738 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451687 | Michele L Brunner | Nurse Practitioner | 33 Tower Hill Ave, Farmingville, NY 11738-1912 | 2020-09-13 |
| 1932359528 | Melissa A Barton | Nurse Practitioner | 465 Blue Point Rd Ste D, Farmingville, NY 11738-1839 | 2008-09-19 |
| 1548679061 | Abimbola Ojurongbe | Nurse Practitioner | 2280 N Ocean Ave, Farmingville Kmart, Farmingville, NY 11738-2911 | 2014-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGVILLE |
| Zip Code | 11738 |
Please comment or provide details below to improve the information on NIGHTINGALE NURSE PRACTITIONER FAMILY PRACTICE, PC.
| 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.