MS. KATHLEEN KNACKE (NPI# 1891023446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891023446 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN KNACKE |
| Credential | LPN |
| Practice Address |
200 Howells Rd Bay Shore NY 11706-5351 |
| Mailing Address |
10 Adams Pl West Islip NY 11795-1810 |
| Practice Telephone | 6316655906 |
| Mailing Telephone | 6315399598 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 288654 | NY | Nursing Service Providers |
| Street Address |
200 HOWELLS RD |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-5351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134602 | Mark R Siegelheim | Internal Medicine | 200 Howells Rd, Bay Shore, NY 11706-5300 | 2005-06-14 |
| 1699290288 | Argelia Nurse Practitioner In Adult Health PC | Nurse Practitioner | 200 Howells Rd, Bay Shore, NY 11706-5351 | 2017-08-04 |
| 1982071619 | Mjl Medical Healthcare P.C. | Surgery | 200 Howells Rd, Bay Shore, NY 11706-5351 | 2015-08-28 |
| 1447658844 | Brightwater Dental Care PC | Dentist | 200 Howells Rd, Bay Shore, NY 11706-5351 | 2014-12-17 |
| 1619229820 | Argelia Diaz | Nurse Practitioner | 200 Howells Rd, Ste 4, Bay Shore, NY 11706-5351 | 2012-10-11 |
| 1326292061 | Ar Testing Corp | Clinic/Center | 200 Howells Rd, Suite A, Bay Shore, NY 11706-5351 | 2008-11-07 |
| 1255533360 | Brightwaters Internal Medicine Pllc | Internal Medicine | 200 Howells Rd, Bay Shore, NY 11706-5300 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| 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 |
|---|---|---|---|---|
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1245842871 | Lizzette Canales-rangel | Licensed Practical Nurse | 87 California Ave, Bay Shore, NY 11706-4503 | 2020-08-17 |
| 1821607334 | Fatima R Belizaire | Licensed Practical Nurse | 54 Bay Ave, Bay Shore, NY 11706-8753 | 2020-07-30 |
| 1124641832 | Jessenia Belis | Licensed Practical Nurse | 105 Howells Rd Apt B1, Bay Shore, NY 11706-6429 | 2020-05-28 |
| 1053955617 | Ronald E. Roseo | Licensed Practical Nurse | 33 W Garfield St, Bay Shore, NY 11706-7205 | 2019-11-06 |
| 1750930152 | Melissa Deleana Coefield | Licensed Practical Nurse | 24 Debora Ct, Bay Shore, NY 11706-4055 | 2019-09-09 |
| 1194288076 | Angeline Elshazly | Licensed Practical Nurse | 358 Howells Rd, Bay Shore, NY 11706-5311 | 2019-04-09 |
| 1568925667 | Angela Emokpae | Licensed Practical Nurse | 5 Rosewood Pl, Bay Shore, NY 11706-2405 | 2019-04-08 |
| 1700358058 | Christopher Warren-kidd | Licensed Practical Nurse | 48 Krause St, Bay Shore, NY 11706-2627 | 2018-12-27 |
| Find all providers in BAY SHORE | ||||
Please comment or provide details below to improve the information on MS. KATHLEEN KNACKE.
| 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.