Jacqueline R. Dandridge, LPN LICENSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2498221 Issued in NY

Practice address

29 Wendy Dr
Poughkeepsie, NY 12603-6017

Phone

(845) 298-2176

Fax

(845) 298-2176

NPI assigned

Jan 29, 2007

Last updated

Jul 9, 2007By 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 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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992841696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HEANEY DR",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125084113",
            "telephone_number": "845-831-6196",
            "fax_number": "845-831-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WENDY DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036017",
            "telephone_number": "845-298-2176",
            "fax_number": "845-298-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDRIDGE",
        "first_name": "JACQUELINE",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "LPN  LICENSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2498221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01805834",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samanata Dallakoti
• Caitlin R Dalton
• Sejal N. Dalwadi, M.D.
• Charlene Jean Daly, FNP
• Dorothy Damore, MD
• Daniel M. Goldman, MD
• Robert B Daniel, RPA-C
• Dawn Daniels, CASAC
• Ollie Daniels, RN
• Carole Daponte

• Licensed Practical Nurse in Poughkeepsie, NY
• Providers in Poughkeepsie, 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 Jul 9, 2007; 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.