MRS. MAXINE FREE (NPI# 1063703973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063703973 |
| Entity Type | Individual |
| Full Name | MRS. MAXINE FREE |
| Credential | RN |
| Practice Address |
620 Madison St Syracuse NY 13210-2319 |
| Practice Telephone | 3154263600 |
| Mailing Telephone | 3154263600 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2014-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
22 560184 | NY | Nursing Service Providers |
| Street Address |
620 MADISON ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887825 | Marianna Hp Kaufman | Internal Medicine | 620 Madison St, Syracuse, NY 13210-2319 | 2005-08-10 |
| 1447851811 | Christopher Pernisi | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2020-11-03 |
| 1356942718 | Lesley Musgrove | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2020-11-03 |
| 1154943314 | Michelle Pisano | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2338 | 2020-05-11 |
| 1750916474 | Monxque Marceis | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2020-03-04 |
| 1790317733 | Anthony Charles Gonzalez | Social Worker | 620 Madison St, Syracuse, NY 13210-2319 | 2020-02-07 |
| 1144869934 | Jennifer Volcko | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2019-12-27 |
| 1275171324 | Jaylin Vernon | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2019-12-18 |
| 1396383980 | Tori Martin | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2019-12-15 |
| 1134767700 | Elizabeth Gonzalez | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2019-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114254 | Nyree Jones | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2018-12-04 |
| 1861962847 | Janelle Letendre | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2018-12-03 |
| 1639649692 | Sheila P Anthony | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2018-12-03 |
| 1164914974 | Erica Darin | Registered Nurse | 1330 E Washington St, Syracuse, NY 13210-1173 | 2018-06-06 |
| 1881011161 | Geraldine White | Registered Nurse | 620 Madison St, Tu5, Syracuse, NY 13210-2319 | 2014-03-25 |
| 1336489665 | Pierre Noel Cabrera | Registered Nurse | 1330 E Washington St, Syracuse, NY 13210-1173 | 2013-02-23 |
| 1306127121 | Adrienne M Kulak | Registered Nurse | 650 Madison St, Syracuse, NY 13210-2319 | 2011-09-07 |
| 1255638847 | Judith Tolpa King | Registered Nurse | 1330 E Washington St, Syracuse, NY 13210-1173 | 2011-02-17 |
| 1376851592 | Margaret Anne Dobbins | Registered Nurse | 650 Madison St, Syracuse, NY 13210-2319 | 2010-09-22 |
| 1083930317 | Marla Judith Byrnes | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2010-04-12 |
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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.