Dawn Marie Degroat, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10309686 Issued in NY

Practice address

42298 Mew Connecticut Rd
Theresa, NY 13691

Phone

(315) 755-8353

NPI assigned

Jun 17, 2015

Last updated

Jun 17, 2015By 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

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1326429069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42298 MEW CONNECTICUT RD",
            "city": "THERESA",
            "state": "NY",
            "postal_code": "13691",
            "telephone_number": "315-755-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42298 MEW CONNECTICUT RD",
            "city": "THERESA",
            "state": "NY",
            "postal_code": "13691",
            "telephone_number": "315-755-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROAT",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10309686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine C Ayen, CNM
• Kelly Breen
• Ellen Norma Denise Gill
• Kristina Green, M.A., CCC-SLP
• Kathleen Ann Hilyer, LPN
• Theresa Leeson, RN
• Rachel Beth Mason, LPN

• Licensed Practical Nurse in Theresa, NY
• Providers in Theresa, 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 Jun 17, 2015; 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.