Jaqueline Cuellar, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

796969-1 Issued in NY

Practice address

80 Saxon Ave
Bay Shore, NY 11706-7018

Phone

(631) 220-2245

NPI assigned

Aug 16, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jaqueline Orejuela Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093231508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SAXON AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067018",
            "telephone_number": "631-220-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SAXON AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067018",
            "telephone_number": "631-220-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUELLAR",
        "first_name": "JAQUELINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "329440",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "796969-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAQUELINE",
            "last_name": "OREJUELA",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janice C Cristobal, M.D.
• Deborah Crossman, PA
• Michele M Crowell, PA
• Kristine Cuartas
• Ana Cubas
• Elizabeth Mary Culkin, PH.D.
• Victoria Jane Cully, NP
• Brian Cunningham, CASAC-T
• Caylla Leigh Cunningham
• Elizabeth Sara Curney, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.