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DEANNA ROSE PECKHAM LPN
NPI 1265217673
Licensed Practical Nurse in Saranac Lake, NY

Active since August 25, 2023
70 EDGEWOOD RD, SARANAC LAKE, NY 12983(518) 891-5535 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2023, Aug 25, 2023 (2 updates tracked since 2023).

About Deanna Rose Peckham Lpn NPPES

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

DEANNA ROSE PECKHAM LPN (NPI 1265217673) is an individual licensed practical nurse in Saranac Lake, New York, licensed in New York (302214) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1265217673
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDEANNA ROSE PECKHAMCredential: LPN
Location Address70 EDGEWOOD RDSaranac Lake, NY 12983-1537
Mailing Address70 Edgewood RdSaranac Lake, NY 12983-1537 · (518) 891-5535
Phone(518) 891-5535
Sole ProprietorNo
Enumeration DateAugust 25, 2023
Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
✔ NPI 1265217673 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 · 302214
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.
70 EDGEWOOD RD, Saranac Lake, NY 12983
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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.

MS. SARAH ELIZABETH UPDEGRAFT CNM
Nurse Practitioner (Psychiatric/Mental Health)
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 891-5535
MR. HARRISON METCALF EWING
Adult Companion
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 891-0310
MARY ALICE SMITH RN
Registered Nurse (Psychiatric/Mental Health)
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 354-4126
JILLIAN BISONETTE
Case Manager/Care Coordinator
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 891-5535
COURTNEY BAKER
Social Worker (Clinical)
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 891-2510
ANDREA M. PALERMO
Case Manager/Care Coordinator
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 354-4166
MALLORY SUPLEY
Licensed Practical Nurse
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 891-5535
OLIVIA POPE LCSW
Social Worker (Clinical)
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Franklin County (518) 891-5535

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 Deanna Peckham's NPI number?

The NPI number for Deanna Peckham is 1265217673. It was assigned to this individual provider in the NPPES registry on August 25, 2023.

Where is Deanna Peckham located?

Deanna Peckham practices at 70 Edgewood Rd, Saranac Lake, NY 12983. The listed phone number is (518) 891-5535.

What is Deanna Peckham'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 Deanna Peckham was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.