JESSICA PELLETTIER (NPI# 1912134941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912134941 |
| Entity Type | Individual |
| Full Name | JESSICA PELLETTIER |
| Credential | LPN |
| Practice Address |
75 Hulse Ave Wading River NY 11792-1954 |
| Practice Telephone | 6318861237 |
| Mailing Telephone | 6318861237 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 272561-1 | NY | Nursing Service Providers |
| Street Address |
75 HULSE AVE |
| City | WADING RIVER |
| State | NY |
| Zip Code | 11792-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906085 | Puja Kakar Godhwani | Nurse Practitioner | 6144 Ny-25a, Building C Suite 13, Wading River, NY 11792 | 2019-01-15 |
| 1336557230 | Danielle Schneider | Social Worker | 177 Cliff Rd West, Wading River, NY 11792 | 2014-07-24 |
| 1023428018 | Kristin Ponzini | Speech-Language Pathologist | 154 Sylvan Dr, Wading River, NY 11792 | 2014-04-30 |
| 1508281478 | Melissa Ellen Taylor | Audiologist | 5964 Route 25a, Wading River, NY 11792 | 2014-02-28 |
| 1992142285 | Alyssa Marie Wruck | Dentist | 6336 Ny 25-a, Suite 2, Wading River, NY 11792 | 2013-05-28 |
| 1639421803 | Barbara O. Higgins | Nutritionist | 12540 N Wading River Road, Little Flower Services, Wading River, NY 11792 | 2012-10-11 |
| 1821308545 | Sarah Jeanne Hogan | Licensed Practical Nurse | 63 Dogwood Dr, Wading River, NY 11792 | 2010-10-15 |
| 1336461854 | George Gabriel Hershman | Pharmacist | 1815 Wading River Manorville Road, Wading River, NY 11792 | 2010-02-25 |
| 1225365950 | Anne Valerie Nienstedt | Family Medicine | 67 Karen Court, Wading River, NY 11792 | 2009-11-18 |
| 1497894828 | Katherine Edith Gosman | Physical Therapist | 2098 N Wading River Rd, Wading River, NY 11792 | 2007-02-05 |
| Find all providers in zip 11792 | ||||
| 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 |
|---|---|---|---|---|
| 1760999148 | Meredith A Weber | Licensed Practical Nurse | 38 Randall Rd, Wading River, NY 11792-1510 | 2018-01-06 |
| 1063899292 | Alissa Iervese | Licensed Practical Nurse | 9 Hidden Pheasant Path, Wading River, NY 11792-2163 | 2015-04-27 |
| 1720321821 | Ryan J Doyle | Licensed Practical Nurse | 274 N Country Rd, Wading River, NY 11792-9302 | 2013-03-27 |
| 1801132394 | Michelle Marie Bongiovanni | Licensed Practical Nurse | 6324 Route 25a Ste 6, Wading River, NY 11792-2019 | 2013-01-02 |
| 1003152687 | Meghan Kealey | Licensed Practical Nurse | 88 Crescent Ct, Wading River, NY 11792-3002 | 2012-12-30 |
| 1750643615 | Tara Milcetic | Licensed Practical Nurse | 186 Hidden Pond Path, Wading River, NY 11792-2173 | 2012-06-15 |
| 1891086484 | Meaghan D Murphy | Licensed Practical Nurse | 1 High View Dr, Wading River, NY 11792-1026 | 2011-04-29 |
| 1821308545 | Sarah Jeanne Hogan | Licensed Practical Nurse | 63 Dogwood Dr, Wading River, NY 11792 | 2010-10-15 |
| 1568614733 | Shayna Madeleine Saccaro | Licensed Practical Nurse | 6144 Route 25a Ste 19, Wading River, NY 11792-2015 | 2008-10-18 |
| 1386891810 | Margaret Wachholder | Licensed Practical Nurse | 211 Hulse Ave, Wading River, NY 11792-1957 | 2008-08-27 |
| Find all providers in WADING RIVER | ||||
| City | WADING RIVER |
| Zip Code | 11792 |
Please comment or provide details below to improve the information on JESSICA PELLETTIER.
| 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.