Rheanna Louise Cluckey

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

757374 Issued in NY

Practice address

70 N Country Rd Ste 102
Port Jefferson, NY 11777-2161

Phone

(631) 938-6999

NPI assigned

Sep 17, 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

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1770067696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BEAUMONT PL APT A",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117275477",
            "telephone_number": "469-688-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N COUNTRY RD STE 102",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772161",
            "telephone_number": "631-938-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUCKEY",
        "first_name": "RHEANNA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "757374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Cimino-Nardolillo, PA
• Rachel Cipriano, RD
• Marilyn Hurley Cleary, MA,OTRL
• Nicholas Clemente, DO
• Leonard Patrick Close III, DDS
• Asheley Rae Cockren, PA-C
• Margaret Mary Coffey, NP
• Joanna M Coleman
• Maria Christina Comillas, RN
• Heather Patrice Coniglio, MA, CCC-SLP

• Registered Nurse in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.