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THADDEUS HAIRSTON
NPI 1356756019
Licensed Practical Nurse in Liverpool, NY

Active since June 21, 2014
1015 7TH NORTH ST APT A2, LIVERPOOL, NY 13088(315) 491-8814 Get Directions Write a Review

NPPES record last updated: June 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thaddeus Hairston NPPES

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

THADDEUS HAIRSTON (NPI 1356756019) is an individual licensed practical nurse in Liverpool, New York, licensed in New York (251862-1) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1356756019
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameTHADDEUS HAIRSTON
Location Address1015 7TH NORTH ST APT A2Liverpool, NY 13088-6138
Mailing Address1015 7th North St Apt A2Liverpool, NY 13088-6138
Phone(315) 491-8814
Sole ProprietorYes
Enumeration DateJune 21, 2014
✔ NPI 1356756019 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 · 251862-1
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.
1015 7TH NORTH ST APT A2, Liverpool, NY 13088
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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 Thaddeus Hairston's NPI number?

The NPI number for Thaddeus Hairston is 1356756019. It was assigned to this individual provider in the NPPES registry on June 21, 2014.

Where is Thaddeus Hairston located?

Thaddeus Hairston practices at 1015 7th North St Apt A2, Liverpool, NY 13088. The listed phone number is (315) 491-8814.

What is Thaddeus Hairston'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 Thaddeus Hairston was last updated on June 21, 2014. 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.