KATASHA DOMANIQUE JEFFERS
NPI 1184410078
Licensed Practical Nurse in Albany, NY

Active since April 16, 2025
60 ACADEMY RD, ALBANY, NY 12208(518) 426-2600 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katasha Domanique Jeffers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATASHA DOMANIQUE JEFFERS (NPI 1184410078) is an individual licensed practical nurse in Albany, New York, licensed in New York (349652) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1184410078
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKATASHA DOMANIQUE JEFFERS
Location Address60 ACADEMY RDAlbany, NY 12208-3103
Mailing Address60 Academy RdAlbany, NY 12208-3103
Sole ProprietorNo
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
NPI 1184410078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 349652
Definition

A licensed practical nurse 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.

60 ACADEMY RD, Albany, NY 12208

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
60 ACADEMY RD
ALBANY, NY 12208
Social Worker (Clinical)
60 ACADEMY RD
ALBANY, NY 12208
Social Worker (Clinical)
60 ACADEMY RD
ALBANY, NY 12208
Social Worker (Clinical)
60 ACADEMY RD
ALBANY, NY 12208
Social Worker
60 ACADEMY RD
ALBANY, NY 12208
Social Worker (Clinical)
60 ACADEMY RD
ALBANY, NY 12208
Day Training, Developmentally Disabled Services
60 ACADEMY RD
ALBANY, NY 12208
Occupational Therapy Assistant
60 ACADEMY RD
ALBANY, NY 12208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184410078, enumerated as an "individual" on April 16, 2025.

The provider is located at 60 ACADEMY RD ALBANY, NY 12208 and the phone number is (518) 426-2600.

Licensed Practical Nurse with taxonomy code 164W00000X.