Chasity Lee Kubic, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

288437 Issued in NY

Practice address

1306 Stebbins Rd
Silver Creek, NY 14136-9713

Phone

(315) 882-1587

NPI assigned

Dec 22, 2020

Sex

Female

Sole proprietor

Yes

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1104413400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 STEBBINS RD",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "141369713",
            "telephone_number": "315-882-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 STEBBINS RD",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "141369713",
            "telephone_number": "315-882-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIC",
        "first_name": "CHASITY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "288437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Hallmark
• Lisa Marie Henry
• John Mulawka DO PC
• Chelsey Kaminski, PT, DPT
• Alicia Kimmerly, LCAT
• Amy Marie Lazarczyk, PHARMD
• Amie E Libby
• Carolyn Jane Lukonaitis, DC
• Arawins Andrew Manoharan, M.D.
• Thomas McTernan, M.D.

• Licensed Practical Nurse in Silver Creek, NY
• Providers in Silver Creek, 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 Dec 22, 2020; 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.