Marva Quaccoo, LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

234908 Issued in NY

Practice address

130 Broadbridge Rd
Bridgeport, CT 06610-1121

Phone

(203) 373-7559

NPI assigned

Jun 2, 2010

Sex

Female

Sole proprietor

No

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, last updated by the provider on Jun 2, 2010.

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1982924908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BROADBRIDGE RD",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06620",
            "telephone_number": "203-373-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BROADBRIDGE RD",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066101121",
            "telephone_number": "203-373-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACCOO",
        "first_name": "MARVA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NY",
            "license": "234908",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CT",
            "license": "234908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lynn Purzycki, APRN
• Travis Pyka, APRN FNP-C CEN
• Saad Qadwai, M.D.
• Mahvish N Qazi, MD
• QMG4, LLC
• Valerie Quarles, PHD, LCSW
• Jennifer Qubick
• Quentin Medical Group, LLC
• Franizise Querette, RN
• Ronald Querette, LPN

• All providers in Bridgeport, CT
• Licensed Vocational Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.