Jacqueline Hebrank

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

258030 Issued in NY

Practice address

777 Westchester Ave
Suite 110
White Plains, NY 10604-3520

Phone

(914) 997-0420

Fax

(877) 306-1432

NPI assigned

Sep 29, 2016

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maxim of New York, LLC

  • Home Health Agency
  • White Plains, NY
  • NPI 1164533543
  NPD (past)

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1972052199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PUTNAM DR APT 1",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105125655",
            "telephone_number": "845-225-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 WESTCHESTER AVE",
            "address_2": "SUITE 110",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043520",
            "telephone_number": "914-997-0420",
            "fax_number": "877-306-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBRANK",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "258030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aileen Terese Healy, OTR/L
• Martin James Healy Jr., DMD
• Hearing Help of Westchester PLLC
• Heartsong, Inc
• /Andrea Rose Marie Heaver, LPN
• Carly Heffron, DPT
• Mary A Hegarty
• Erin Dullaghan Heinz, PSY.D.
• Jeanene Helbig D'Ambrosio, M.S., CCC-SLP
• Harriet Helfenbein

• Licensed Practical Nurse in White Plains, NY
• Providers in White Plains, 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 29, 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.