Jullissa Amanda Cardona, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

322240-1 Issued in NY

Practice address

34 Meier PL
Bay Shore, NY 11706-4320

Phone

(631) 649-5529

NPI assigned

Jul 13, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1033593777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MEIER PL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064320",
            "telephone_number": "631-649-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MEIER PL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064320",
            "telephone_number": "631-649-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "JULLISSA",
        "middle_name": "AMANDA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "322240-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Grace Caporaso, LMSW
• Carl William Cappello, DOCTOR OF DIVINITY
• Jeanne Marie Carboni, R.N.
• Alexandra N Cardinal, PHYSICIAN ASSISTANT
• Rachel Teresa Cardinal, PA-C
• Care Guidance Services DNP, NP in Family Health, PLLC.
• Yrena Carlson, LPN
• Carmine F. Zito & Associates Inc.
• Marsha Sorayah Caron
• Janie Carroll

• Licensed Practical Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.