Jasmine Frederique

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

328253 Issued in NY

Practice address

106 South St
Marlboro, NY 12542-5620

Phone

(845) 240-6849

NPI assigned

Sep 30, 2026

Last updated

Sep 30, 2026By 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

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1508770207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SOUTH ST",
            "city": "MARLBORO",
            "state": "NY",
            "postal_code": "125425620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SOUTH ST",
            "city": "MARLBORO",
            "state": "NY",
            "postal_code": "125425620",
            "telephone_number": "845-240-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERIQUE",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "328253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ammie Duwai-King, SLP
• Kiana Edwards
• Nino A Elizondo, LCSW
• Tara Denise Farina, R.N.
• Demitria Athena Fragale, BCBA, LBA-NY
• Megan Anne Gebert, MS, ATC
• Erin Nicole Gephard, MA, CCC-SLP
• Gerard Matthew OT PC
• Melissa Ann Gorski, PHARMD
• Shana Griffin, REGISTERED DIETITIAN

• Licensed Practical Nurse in Marlboro, NY
• Providers in Marlboro, 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 Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.