MS. LISA RAE O'BRIEN LPN
NPI 1750798195
Licensed Practical Nurse in Ronkonkoma, NY

Active since July 17, 2014
500 PECONIC ST, APT 86A, RONKONKOMA, NY 11779(917) 543-2311 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lisa Rae O'brien Lpn NPPES

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

MS. LISA RAE O'BRIEN LPN (NPI 1750798195) is an individual licensed practical nurse in Ronkonkoma, New York, licensed in New York (280359-1) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1750798195
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. LISA RAE O'BRIENCredential: LPN
Location Address500 PECONIC ST, APT 86ARonkonkoma, NY 11779-7100
Mailing Address500 Peconic St, Apt 86aRonkonkoma, NY 11779-7100 · (917) 543-2311
Sole ProprietorNo
Enumeration DateJuly 17, 2014
NPI 1750798195 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 · 280359-1
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.
500 PECONIC ST, Ronkonkoma, NY 11779

Other Providers at the Same Location NPPES 6

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

Genetic Counselor, MS
500 PECONIC ST, APT 317A
RONKONKOMA, NY 11779
Nurse Practitioner
500 PECONIC ST, 92A
RONKONKOMA, NY 11779
Occupational Therapy Assistant
500 PECONIC ST, APT 1-7B
RONKONKOMA, NY 11779
Behavior Technician
500 PECONIC ST, APT 195A
RONKONKOMA, NY 11779
Case Manager/Care Coordinator
500 PECONIC ST, APT 96A
RONKONKOMA, NY 11779
Social Worker
500 PECONIC ST, APT 5-1B
RONKONKOMA, NY 11779

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 Lisa O'brien's NPI number?

The NPI number for Lisa O'brien is 1750798195. It was assigned to this individual provider in the NPPES registry on July 17, 2014.

Where is Lisa O'brien located?

Lisa O'brien practices at 500 Peconic St Apt 86A, Ronkonkoma, NY 11779. The listed phone number is (917) 543-2311.

What is Lisa O'brien'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 Lisa O'brien was last updated on July 17, 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.