Mary Rose Cieslik, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

007270-22 Issued in NH

Practice address

1039 Islington St
Suite 16
Portsmouth, NH 03801-4262

Phone

(603) 431-0505

Fax

(603) 431-2228

NPI assigned

Sep 26, 2013

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

Other names 1

• Mary Rose Moynihan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Benda Healthcare, Inc.

  • Home Health Agency
  • Portsmouth, NH
  • NPI 1184649006
  NPD (past)

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1447686175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 ISLINGTON ST",
            "address_2": "SUITE 16",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014262",
            "telephone_number": "603-431-0505",
            "fax_number": "603-431-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 ISLINGTON ST",
            "address_2": "SUITE 16",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014262",
            "telephone_number": "603-431-0505",
            "fax_number": "603-431-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESLIK",
        "first_name": "MARY",
        "middle_name": "ROSE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NH",
            "license": "007270-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MOYNIHAN",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Christie, RN
• Christyn Sieve PSYD Psychological Services PLLC
• Yoo NA Chun, MD
• Kimberlee I Chute, PA-C
• Brian William James Cicero, DMD
• Michael Scott Cinilia, PA-C
• Khadijah M. Cisse
• City of Portsmouth New Hampshire
• William Ciurylo, B.S., M.A., D.O.
• Jeanne Civiello

• Licensed Practical Nurse in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Licensed Practical Nurse in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.