Vanessa Marie Dodson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

325002 Issued in NY

Practice address

19 Nord Park Blvd
Middle Island, NY 11953-1839

Phone

(631) 413-8277

NPI assigned

Feb 28, 2016

Last updated

Sep 5, 2016By 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": "1456617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473033600000",
    "number": "1598125957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 NORD PARK BLVD",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531839",
            "telephone_number": "631-413-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 NORD PARK BLVD",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531839",
            "telephone_number": "631-413-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-28",
        "last_updated": "2016-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "325002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Marie Susan Diaz
• Tiffany Diaz
• Heather Digiovanni, LCSW
• Shawn Dillon
• Kathryn Disclafani
• Stacey Doell
• Jean Donaghy, LMSW
• Thomas Patrick Donlon Sr., RN
• Darlene Dorcinvil
• Dr. Zaytoun Medical Care PC

• Licensed Practical Nurse in Middle Island, NY
• Providers in Middle Island, 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 5, 2016; 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.