KAREN L OLIVIERI (NPI# 1013914514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013914514 |
| Entity Type | Individual |
| Full Name | KAREN L OLIVIERI |
| Credential | P.A. |
| Practice Address |
325 Main St Northport NY 11768-1730 |
| Practice Telephone | 6312614445 |
| Practice Fax Number | 6312613710 |
| Mailing Telephone | 6312614445 |
| Mailing Fax Number | 6312613710 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2011-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 008469 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS/BLUE SHIELD | 4F9081 | 01 |
| NY | MEDICARE LEGACY | 4F9081 | 01 |
| NY | 02383080 | 05 |
| Street Address |
325 MAIN ST |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035876 | Alan R Lampert | Family Medicine | 325 Main St, Northport, NY 11768-1790 | 2005-06-28 |
| 1891114773 | Bernadette Dube | Nurse Practitioner | 325 Main St, Northport, NY 11768-1790 | 2014-04-08 |
| 1801054226 | Chrystyne Olivieri | Registered Nurse | 325 Main St, Ste 2b, Northport, NY 11768-1790 | 2008-06-02 |
| 1710144340 | Northport Family Medicine P.c | Internal Medicine | 325 Main St, Northport, NY 11768-1790 | 2008-05-21 |
| 1689769325 | Steven E Klein | Family Medicine | 325 Main St, Northport, NY 11768-1790 | 2006-10-04 |
| 1669479010 | Robert S Nissan | Family Medicine | 325 Main St, Northport, NY 11768-1790 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
| Find all providers in zip 11768 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880352 | Austin Thomas Stack | Physician Assistant | 15 Monroe St, Northport, NY 11768-1901 | 2020-08-06 |
| 1093350548 | Amy Lynn Vath | Physician Assistant | 46 Woody Ln, Northport, NY 11768-3255 | 2019-11-07 |
| 1811413552 | Danielle Willsey | Physician Assistant | Po Box 134, Northport, NY 11768-0134 | 2017-08-15 |
| 1922403245 | Jeanine Gurdon | Physician Assistant | 15 Dick Ct, Northport, NY 11768-1900 | 2014-10-29 |
| 1891195350 | Kiera Schiavetta | Physician Assistant | 72 Scudder Pl, Northport, NY 11768-3025 | 2014-09-02 |
| 1093992935 | John Guerra | Physician Assistant | 17 Valewood Ln, Northport, NY 11768-3257 | 2008-01-23 |
| 1144845447 | Brittany Zaid | Physician Assistant | 19 Crestwood Dr, Northport, NY 11768-2503 | 2020-06-11 |
| 1427447242 | Lauren Smith | Physician Assistant | 2201 32nd St, Northport, AL 35476 | 2015-01-16 |
| 1487907952 | Karra Porter Aymond | Physician Assistant | 2700 Hospital Dr, Northport, AL 35476-3360 | 2012-10-22 |
| 1669544292 | Jessica F Walz | Physician Assistant | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-11-15 |
| Find all providers in NORTHPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.