MISS JEE KIM (NPI# 1891150298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891150298 |
| Entity Type | Individual |
| Full Name | MISS JEE KIM |
| Credential | LPN |
| Practice Address |
100 Ronkonkoma Ave Apt 4d Lake Ronkonkoma NY 11779-2742 |
| Practice Telephone | 6318073736 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 10324718 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386929776 | Jee Young Kim | Dentist | Bldg 320 Krukowski St, Usa Dentac, Tripler Amc, HI 96859-5000 | 2011-10-17 |
| 1245423243 | Jee Y Kim | Optometrist | 978 S Vermont Ave, Los Angeles, CA 90006-1611 | 2007-08-22 |
| 1194352187 | Jee Hyun Kim | Student in an Organized Health Care Education/Training Program | 7901 Broadway Rm A1-16, Elmhurst, NY 11373-1329 | 2020-03-27 |
| 1174083075 | Jee Kim | Student in an Organized Health Care Education/Training Program | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2019-03-25 |
| 1003844895 | Jee Hoon Kim | Chiropractor | 2317 W Chicago Ave, 2 Fl., Chicago, IL 60622-4723 | 2006-06-29 |
| Street Address |
100 RONKONKOMA AVE APT 4D |
| City | LAKE RONKONKOMA |
| State | NY |
| Zip Code | 11779-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
| 1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
| 1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| Find all providers in zip 11779 | ||||
| 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 |
|---|---|---|---|---|
| 1407456817 | Angelica Falco | Licensed Practical Nurse | 8 Topaz Dr, Lake Ronkonkoma, NY 11779-4568 | 2020-10-27 |
| 1811408354 | Anna Elaine Weiss | Licensed Practical Nurse | 17 Duane Dr, Lake Ronkonkoma, NY 11779-4306 | 2017-10-23 |
| 1013377662 | Amanda Little | Licensed Practical Nurse | 45 Lakeside Dr, Lake Ronkonkoma, NY 11779-1949 | 2016-02-24 |
| 1013317437 | Meagan Mcguigan | Licensed Practical Nurse | 14 Creighton Ave, Lake Ronkonkoma, NY 11779-4416 | 2014-09-04 |
| 1093063620 | Melanie A Maher | Licensed Practical Nurse | 14 Kayron Dr, Lake Ronkonkoma, NY 11779-1961 | 2012-08-29 |
| 1710253794 | Megan Melissa Crain | Licensed Practical Nurse | 147 Lake Shore Rd, Apt. 23b, Lake Ronkonkoma, NY 11779-3165 | 2012-03-23 |
| 1629590617 | Nicholas Martin Pascullo | Licensed Practical Nurse | 153 Lake Shore Rd, Lake Ronkonkoma, NY 11779-3157 | 2017-07-11 |
| 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 | ||||
| City | LAKE RONKONKOMA |
| Zip Code | 11779 |
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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.