Danielle Heather Ricciardo

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

330415 Issued in NY

Practice address

153 Mohawk Ave
Deer Park, NY 11729-1701

Phone

(631) 416-1989

NPI assigned

Jan 22, 2018

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": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1255849576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MOHAWK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291701",
            "telephone_number": "631-416-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MOHAWK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291701",
            "telephone_number": "631-416-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIARDO",
        "first_name": "DANIELLE",
        "middle_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "330415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Reisert
• Claudia Remonvil Borgella
• Mary Rex
• Kathleen Gloria Reynolds, MS,PT
• Kimberly Reynolds, LPN
• Tiffany Rini
• Jerold Rivers
• Robert Gaied Physical Therapy PC
• Tahneemarie Louise Roberts, PA-C
• Koa K Robinson, CRNA

• Licensed Practical Nurse in Deer Park, NY
• Providers in Deer Park, 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 Jan 22, 2018; 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.