Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457566713 Individual Practitioner Female Practitioner

Marie Jefferson

Licensed Practical Nurse • Modena, NY

Professional Overview & Biography Verified Profile Summary

Marie Jefferson is a registered healthcare professional specializing in Licensed Practical Nurse in Modena, NY. Practice services are available at 2139 STATE ROUTE 32 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2139 State Route 32

Modena, NY 125485213

Telephone 8458834227

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Modena, NY

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

Practicing in Modena, 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 270543-1

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

Medicaid State Provider ID
02322952 (NY)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Kayla Mackey , RN

Registered Nurse

NPI 1578952701

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 2139 STATE ROUTE 32, MODENA, NY 125485213 (Tel: 8458834227)

📍
Updated Business Mailing Address July 09, 2007

Registered at 2139 STATE ROUTE 32, MODENA, NY 125485213

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MARIE JEFFERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Licensed Practical Nurse (License #270543-1 in NY)

🟢
Initial NPI Registration & Enumeration May 11, 2007

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: 1457566713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2007
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

2139 State Route 32

Modena, NY 125485213

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.