Yomarie E Maldonado, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

331829 Issued in NY

Practice address

322 Ellison St
Rochester, NY 14609-4053

Phone

(585) 360-9272

NPI assigned

Oct 29, 2018

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 identifiers 1

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1609343532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 ELLISON ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146094053",
            "telephone_number": "585-360-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 ELLISON ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146094053",
            "telephone_number": "585-360-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "YOMARIE",
        "middle_name": "E",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "331829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331829",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Michele Malbouf, FNP-C
• Jade Malcho, MD
• Kenya Tamu Malcolm, PHD
• Annette Maldonado
• Teisha Lynne Maldonado, LMSW
• Carina Malec, PNP
• Richard Moody Malehorn, M.D.
• Lisa Malek, LMSW
• Kelly Malepe, RN
• Sheldon D. Malett, PH.D.

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, 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 Jan 20, 2023; 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.