1. Home
  2. Directory
  3. New York
  4. Medford
  5. Licensed Practical Nurse
  6. NPI Profile

AIESHA MACKBENNETT
NPI 1629473715
Licensed Practical Nurse in Medford, NY

Active since October 31, 2014

NPPES record last updated: October 31, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aiesha Mackbennett NPPES

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

AIESHA MACKBENNETT (NPI 1629473715) is an individual licensed practical nurse in Medford, New York, licensed in New York (319985-1) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1629473715
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameAIESHA MACKBENNETT
Location Address28 CARR LNMedford, NY 11763-1071
Mailing Address28 Carr LaneMedford, NY 11763 · (631) 846-6194
Phone(631) 846-6194
Sole ProprietorYes
Enumeration DateOctober 31, 2014
✔ NPI 1629473715 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 · 319985-1
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.
28 CARR LN, Medford, NY 11763
Open in Google Maps ↗

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 Aiesha Mackbennett's NPI number?

The NPI number for Aiesha Mackbennett is 1629473715. It was assigned to this individual provider in the NPPES registry on October 31, 2014.

Where is Aiesha Mackbennett located?

Aiesha Mackbennett practices at 28 Carr Ln, Medford, NY 11763. The listed phone number is (631) 846-6194.

What is Aiesha Mackbennett'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 Aiesha Mackbennett was last updated on October 31, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.