Lakeisha Marie Dennis, RN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NJ15028900 Issued in NJ

Practice address

28 Saint Paul Ave
Newark, NJ 07106-1617

Phone

(973) 373-5325

NPI assigned

Nov 7, 2010

Last updated

May 24, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1289088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1649571654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SAINT PAUL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071061617",
            "telephone_number": "973-373-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SAINT PAUL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071061617",
            "telephone_number": "973-373-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "LAKEISHA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-07",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ15028900",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR22478700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Demosthene, APN
• Pamela Dengrove
• Deniks Services LLC
• Peterson Denis, MSW
• Dennis Digiacomo MD LLC
• Unknown Dennis, RD
• Cristina Dennison, MD
• Dental Health Associates PA
• Dental Kidz, Limited Liability Company
• Sarah Suzanne Deol, MD

• Women's Health Nurse Practitioner in Newark, NJ
• Providers in Newark, NJ by specialty
• Women's Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.