Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982183398 Individual Practitioner Female Practitioner

Nicketta Blair

Licensed Practical Nurse • Laurelton, NY

Professional Overview & Biography Verified Profile Summary

Nicketta Blair is a registered healthcare professional specializing in Licensed Practical Nurse in Laurelton, NY. Practice services are available at 23214 MERRICK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23214 Merrick Blvd

Laurelton, NY 114132115

Telephone 7185284375

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Laurelton, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
141 Specialists

Practicing in Laurelton, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 328397-1

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nys Nursing License
328397-1 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Osalenne Metellus , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013389428

Nurse Practitioner

Marie Vernet

Licensed Practical Nurse

NPI 1043700966
Verona Akabuogu

Licensed Practical Nurse

NPI 1063945426
Nicholson Gregoire

Licensed Practical Nurse

NPI 1104693209
Sharon Edwards

Licensed Practical Nurse

NPI 1205201902
Ariel Saturne

Licensed Practical Nurse

NPI 1225546369

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2018

Registered at 23214 MERRICK BLVD, LAURELTON, NY 114132115 (Tel: 7185284375)

📍
Updated Business Mailing Address August 08, 2018

Registered at 7944 CEDARBROOK AVE, PHILADELPHIA, PA 191501326 (Tel: 2672909194)

👤
Provider Name / Credentials Updated August 08, 2018

Recorded as NICKETTA BLAIR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2018

Licensed Practical Nurse (License #328397-1 in NY)

🟢
Initial NPI Registration & Enumeration August 08, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982183398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2018
Last Update: August 08, 2018
Sole Proprietor: No

Mailing Address

7944 Cedarbrook Ave

Philadelphia, PA 191501326

Phone: 2672909194

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.