JESSICA INTRAVAIA LPN
NPI 1245665983
Licensed Practical Nurse in Shirley, NY

Q: What is Jessica Intravaia's NPI number?

The NPI number for Jessica Intravaia is 1245665983. It was assigned to this individual provider in the NPPES registry on September 12, 2013.

Q: What is Jessica Intravaia's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Intravaia was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 12, 2013

102 AUBORN AVE, SHIRLEY, NY 11967(631) 566-8338 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Intravaia Lpn NPPES

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

JESSICA INTRAVAIA LPN (NPI 1245665983) is an individual licensed practical nurse in Shirley, New York, licensed in New York (292663-1) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1245665983

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJESSICA INTRAVAIACredential: LPN

Location Address102 AUBORN AVEShirley, NY 11967-1738

Mailing Address102 Auborn AveShirley, NY 11967-1738 · (631) 566-8338

Phone(631) 566-8338

Sole ProprietorYes

Enumeration DateSeptember 12, 2013

✔ NPI 1245665983 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 · 292663-1

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.

102 AUBORN AVE, Shirley, NY 11967

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Other Providers at the Same Location NPPES

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

GINA WOLFF LPN

Licensed Practical Nurse

102 AUBORN AVE
SHIRLEY, NY 11967

Suffolk County (631) 399-2870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Intravaia's NPI number?

The NPI number for Jessica Intravaia is 1245665983. It was assigned to this individual provider in the NPPES registry on September 12, 2013.

Where is Jessica Intravaia located?

Jessica Intravaia practices at 102 Auborn Ave, Shirley, NY 11967. The listed phone number is (631) 566-8338.

What is Jessica Intravaia's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jessica Intravaia was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.