Marguerite Elizabeth Jackson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

144811-1 Issued in NY

Practice address

2685 Ridge Rd
Ontario, NY 14519-9560

Phone

(585) 506-6731

Fax

(585) 336-4895

NPI assigned

Jan 28, 2010

Last updated

Jan 28, 2010By the provider in NPPES

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

Other names 1

• Marguerite Elizabeth Loren Former name

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1275864498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 RIDGE RD",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "145199560",
            "telephone_number": "585-506-6731",
            "fax_number": "585-336-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 RIDGE RD",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "145199560",
            "telephone_number": "585-506-6731",
            "fax_number": "585-336-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARGUERITE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "144811-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGUERITE",
            "last_name": "LOREN",
            "middle_name": "ELIZABETH",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Helfer, RN
• Kolleen Heslor, PSY.D.
• Casey Hibbard
• Margaret Howell, RN
• Rhonda Hyatt, RN
• Susan Jason, RD
• David S. Kaplan, RPH
• Marigrace King, LPN
• Kristin Kaye Knapp, OT
• Jamie Kohn

• Licensed Practical Nurse in Ontario, NY
• Providers in Ontario, 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 28, 2010; 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.