CHANELLE WILSON (NPI# 1073025482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073025482 |
| Entity Type | Individual |
| Full Name | CHANELLE WILSON |
| Credential | NP |
| Practice Address |
249 Millington Rd Cortlandt Manor NY 10567 |
| Mailing Address |
249 Millington Rd Cortlandt Manor NY 10567-1637 |
| Practice Telephone | 6104420979 |
| Mailing Telephone | 6104420979 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
341582 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
249 MILLINGTON RD |
| City | CORTLANDT MANOR |
| State | NY |
| Zip Code | 10567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902454101 | Daniel George Scott | Physical Therapist | 2050 E Main Street #4, Cortlandt Manor, NY 10567 | 2019-08-30 |
| 1578961611 | Kristie Plocinski | Registered Nurse | 4 Barger St., Cortlandt Manor, NY 10567 | 2014-12-05 |
| 1215369301 | Pamela M. Turner | Licensed Practical Nurse | 1186 B Oregon Road, Cortlandt Manor, NY 10567 | 2013-07-31 |
| 1104191097 | Kim Kroeger-bushell | Registered Nurse | 7 Croton Avenue, Cortlandt Manor, NY 10567 | 2012-03-12 |
| 1013284447 | J. Murray Gruss | Dentist | 2117 Crompond Rd., Cortlandt Manor, NY 10567 | 2011-11-30 |
| 1477863793 | Lyerka Balenovic Drezga | Psychiatry & Neurology | 341 Furance Dock Rd, Unit 54, Cortlandt Manor, NY 10567 | 2010-10-20 |
| 1548599624 | Gloria Helen Jackman | Acupuncturist | 3 Sonoma Road, Cortlandt Acupuncture and Herbology, Cortlandt Manor, NY 10567 | 2009-12-18 |
| 1679807234 | Oliver Ogbonna | Social Worker | 8 Benjamin Lane, Cordtland Manor, NY 10567 | 2009-09-29 |
| 1801066030 | East Hudson Urology Group PC | Urology | 644 Stoneleigh Avenue, Suite 301, Carmel, NY 10567 | 2008-03-04 |
| 1588843445 | Janice M Parks Whitman | Social Worker | 1940 Commerence Street, Carmel Pych Assoc, Yorktown Heights, NY 10567 | 2007-10-29 |
| Find all providers in zip 10567 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639941 | Stacey Marie Quinones | Nurse Practitioner | 1978 Crompond Rd Ste 202, Cortlandt Manor, NY 10567-4115 | 2019-09-28 |
| 1457537631 | Maria Lorraine T Castaneda | Nurse Practitioner | 165 Watch Hill Rd, Cortlandt Manor, NY 10567-7004 | 2008-01-17 |
| 1902340284 | Sherine Campbell | Nurse Practitioner | 1978 Crompond Rd, Cortlandt Manor, NY 10567-4111 | 2016-12-06 |
| 1356733828 | Tresa Antony | Nurse Practitioner | 1980 Crompond Rd, Cortlandt Manor, NY 10567-4144 | 2015-02-20 |
| 1255593588 | Laura Ann Bentivenga | Nurse Practitioner | 1985 Crompond Rd, Cortlandt Manor, NY 10567-4146 | 2008-06-27 |
| 1558585398 | Kristen Elizabeth Dyroff | Nurse Practitioner | 1980 Crompond Rd, Hudson Valley Hospital, Nicu, Cortlandt Manor, NY 10567-4144 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | CORTLANDT MANOR |
| Zip Code | 10567 |
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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.