LAKEISHA BRISTOW NP
NPI 1316581069
Nurse Practitioner in Middletown, NY

Q: What is Lakeisha Bristow's NPI number?

The NPI number for Lakeisha Bristow is 1316581069. It was assigned to this individual provider in the NPPES registry on November 5, 2019.

Q: What is Lakeisha Bristow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lakeisha Bristow was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 November 05, 2019

95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2019, Nov 5, 2019 (2 updates tracked since 2019).

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About Lakeisha Bristow Np NPPES

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

LAKEISHA BRISTOW NP (NPI 1316581069) is an individual nurse practitioner in Middletown, New York, licensed in New York (F309168) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1316581069

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLAKEISHA BRISTOWCredential: NP

Location Address95 CRYSTAL RUN RDMiddletown, NY 10941-7001

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297

Phone(845) 703-6999

Fax(845) 703-6297

Sole ProprietorNo

Enumeration DateNovember 5, 2019

Last NPPES UpdateNovember 20, 20192 updates tracked since enumeration

✔ NPI 1316581069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · F309168

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

95 CRYSTAL RUN RD, Middletown, NY 10941

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