KAY LYN JACKSON (NPI# 1992933477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992933477 |
| Entity Type | Individual |
| Full Name | KAY LYN JACKSON |
| Credential | LPN |
| Practice Address |
30 Montgomery Ave Mastic NY 11950-2606 |
| Practice Telephone | 6314332540 |
| Mailing Telephone | 6314332540 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 276033-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336559632 | Kay Ellen Jackson | Pharmacist | 1005 E 13 Mile Rd, Madison Hts, MI 48071-1533 | 2014-05-07 |
| 1811162951 | Kay Jackson | Counselor | 325 W Gowe St, Kent, WA 98032-5892 | 2008-04-29 |
| 1417127945 | Kay Ellen Jackson | Psychologist | 214 W 29th St, Suite 703, New York, NY 10001-5203 | 2008-03-12 |
| Street Address |
30 MONTGOMERY AVE |
| City | MASTIC |
| State | NY |
| Zip Code | 11950-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404054 | Ashley Arnold | Counselor | 1235 Montalk Highway, Mastic, NY 11950 | 2019-12-16 |
| 1457906935 | Creative Concepts Mental Health Counseling, PC | Counselor | 1360 Montauk Hwy 1st Floor East, Mastic, NY 11950 | 2019-08-02 |
| 1295242246 | Jamie Marie Lauro | Counselor | 37 Bedford Avenue, Mastic, NY 11950 | 2017-12-29 |
| 1932594025 | Elizabeth Liebson | Licensed Practical Nurse | 14 Logan Place, Mastic, NY 11950 | 2015-04-06 |
| 1659772341 | Lilianna Gul | Specialist | 12 Burney Blvd, Mastic, NY 11950 | 2014-09-12 |
| 1023423910 | Savannah Berliner | Nursing Home Administrator | 76 Franklin Ave, Mastic, NY 11950 | 2014-06-30 |
| 1104196013 | Ruth Ann Rainone | Registered Nurse | 170 Mastic Blvd, Mastic, NY 11950 | 2012-01-09 |
| 1174846489 | Amy Lynette Chaves | Licensed Practical Nurse | 158 Vanburen Street, Mastic, NY 11950 | 2010-03-02 |
| 1780805226 | Rosalye Diane Friedman | Social Worker | 1235 Montauk Highway, Mastic, NY 11950 | 2007-05-01 |
| 1063575066 | Walter E Haberstroh | Chiropractor | 1245 Montauk Hwy, Mastic, NY 11950 | 2006-12-19 |
| Find all providers in zip 11950 | ||||
| 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 |
|---|---|---|---|---|
| 1245843929 | Neftali Alicea | Licensed Practical Nurse | 51 Montgomery Ave, Mastic, NY 11950-2610 | 2020-08-24 |
| 1174131239 | Jacquelyne Nicole Don | Licensed Practical Nurse | 28 Grove Dr, Mastic, NY 11950-1604 | 2020-07-15 |
| 1407327505 | Maxine Baker-hutchins | Licensed Practical Nurse | 63 Sachem Dr, Mastic, NY 11950-1704 | 2018-12-16 |
| 1881171189 | Alexandra Mondi | Licensed Practical Nurse | 97 Somerset Ave, Mastic, NY 11950-4223 | 2018-07-19 |
| 1619476835 | Jennifer Ann Davies | Licensed Practical Nurse | 29 Abbott Ave, Mastic, NY 11950-1535 | 2018-02-02 |
| 1861931990 | Linda Hall | Licensed Practical Nurse | 138 Southaven Ave, Mastic, NY 11950-3920 | 2017-02-22 |
| 1497291215 | Anthony Ally | Licensed Practical Nurse | 134 Patchogue Ave, Mastic, NY 11950-3607 | 2017-01-18 |
| 1265881783 | Ladonna Hassan | Licensed Practical Nurse | 9 Terapin St, Mastic, NY 11950-4512 | 2016-06-06 |
| 1912370123 | Linda Chester | Licensed Practical Nurse | 114 Moriches Ave, Mastic, NY 11950-3826 | 2015-11-10 |
| 1396129367 | Ashley Melillo | Licensed Practical Nurse | 102 Franklin Ave, Mastic, NY 11950-2619 | 2015-07-19 |
| Find all providers in MASTIC | ||||
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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.