Jacqueline Susanne Cantela, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

240494-1 Issued in NY

Practice address

26 Parkside Ave
Miller Place, NY 11764-2720

Phone

(631) 640-3329

NPI assigned

Jun 19, 2018

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1508350927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PARKSIDE AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642720",
            "telephone_number": "631-640-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PARKSIDE AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642720",
            "telephone_number": "631-640-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTELA",
        "first_name": "JACQUELINE",
        "middle_name": "SUSANNE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "240494-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Byrne, DO
• Lauren Michele Byrne, D.O.
• Colleen Cain
• Christina Calisi
• Sara Rose Camarda
• Jessica Therese Capone, M.S.ED.
• Lily Carattini
• Jason Carhart, RN, BSN
• Michael Peter Carnes, D.C.
• Connie Carro-Purcell

• Licensed Practical Nurse in Miller Place, NY
• Providers in Miller Place, 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 19, 2018; 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.