Marquita Byrd
Individual provider Active NPI Licensed Practical Nurse · Stone Ridge, NY
NPI 1376424267 · NPPES record last updated Sep 9, 2025
Key facts
- NPI
- 1376424267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 332754 (NY)
- Practice address
- 12 Gagnon Dr
Stone Ridge, NY 12484 - Phone
- (845) 486-2850
- NPI assigned
- Sep 9, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332754 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 332754 | NY | Yes |
Addresses
Primary practice location
12 Gagnon Dr
Stone Ridge, NY 12484
Mailing address
43 Gage St
Kingston, NY 12401-3019
Other providers in Stone Ridge, NY
- Andy Lapides LCSW PLLC
- Anthony Gaudioso, PH.D, Licensed Mental Health Counselor, P.C.
- Kent Babcock
- Lenore Mennin Bruce
- Izabel Eda Burd-Tamdogan
- Kathleen Jean Caproni
- Rachel Ann Carron
- John F Cattich
- Christopher Mark Chamberlin
- Meghan Christine Davis
All providers in Stone Ridge, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.