Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jettaya Ties'e Decosta, RN

Individual provider Licensed Practical Nurse · NPI 1679815427

MS. Jettaya Ties'e Decosta, RN is a Licensed Practical Nurse in Riverhead, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

124 Old Quogue Rd
Riverhead, NY 11901-3941
Phone: (631) 494-8488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Aldersgate, Riverhead, NY 11901-1832 — (631) 494-8488

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 768677 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 313600-1 (NY)

Record details

NPI number1679815427
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 20, 2013
Last updated in NPPESApril 30, 2019

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