Jacquelyn A O'Donnell, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

446217-1 Issued in NY

Practice address

240 Mastic Beach Rd
William Floyd School District
Mastic Beach, NY 11951-1028

Phone

(631) 874-1546

Fax

(631) 874-1548

NPI assigned

Apr 30, 2012

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

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• William Floyd School District

  • Local Education Agency (LEA)
  • Mastic Beach, NY
  • NPI 1447304266
  NPD (past)

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1285992156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MASTIC BEACH RD",
            "address_2": "WILLIAM FLOYD SCHOOL DISTRICT",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119511028",
            "telephone_number": "631-874-1546",
            "fax_number": "631-874-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MASTIC BEACH RD",
            "address_2": "WILLIAM FLOYD SCHOOL DISTRICT",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119511028",
            "telephone_number": "631-874-1546",
            "fax_number": "631-874-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "JACQUELYN",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "446217-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahida Myles, LPN
• Alicia Myrie, NP
• Linnette Susan Nappi, LICENSED PRACTICAL N
• North Bay Nurse Practitioner in Adult Health PLLC
• Caitlin Mary Norton
• Shanelle Owens
• Orlandria Palmer
• Jodiann Pantry, ED.D
• Glenis I Paz Perez, LPN
• Shelley Peasley, COTA

• School Registered Nurse in Mastic Beach, NY
• Providers in Mastic Beach, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.