JOELLEN LANGE (NPI# 1073028403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073028403 |
| Entity Type | Individual |
| Full Name | JOELLEN LANGE |
| Practice Address |
539 Walnut Ave Bohemia NY 11716-4906 |
| Practice Telephone | 6319875175 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427448612 | Joellen Lange | Counselor | 445 Minnesota St Ste 1500, Saint Paul, MN 55101-2269 | 2015-01-27 |
| Street Address |
539 WALNUT AVE |
| City | BOHEMIA |
| State | NY |
| Zip Code | 11716-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548774631 | Laura M Goldschrafe | Midwife | 4875 Sunrise Hwy Ste 200, Bohemia, NY 11716 | 2017-11-28 |
| 1881141364 | Mas Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Kane Court, Huntington, NY 11716 | 2016-09-01 |
| 1255717252 | Lynne G Slovin | Social Worker | 700 Lakeland Avenue, Ste. 1c, Bohemia, NY 11716 | 2015-08-03 |
| 1194164855 | Michelle Lynn Salz | Midwife | 4875 Sunrise Highway, Bohemia, NY 11716 | 2013-06-17 |
| 1700222411 | Caring Hands | Home Health | 21 Carolyn Ct, Bohemia, NY 11716 | 2013-05-21 |
| 1619210069 | Michael Roche | Counselor | 1650 Syamore Ave, Suite 39, Bohemia, NY 11716 | 2013-04-04 |
| 1063727949 | Diane Alana Dicarlo | Acupuncturist | 638 Ocean Avenue, Bohemia, NY 11716 | 2010-08-16 |
| 1467786632 | Elaina Andersen | Occupational Therapist | 907 Sycamore Avenue, Bohemia, NY 11716 | 2009-09-22 |
| 1356518484 | Kenneth John Grau | Speech-Language Pathologist | 45 Crossways East Rd, Saul &elainne Seiff Educare Center, Bohemia, NY 11716 | 2008-05-08 |
| 1790907574 | Thomas J Riviello | Counselor | 600 Johnson Avenue, Bohemia, NY 11716 | 2007-05-02 |
| Find all providers in zip 11716 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841704517 | Amin Alfred | Specialist | 608 Johnson Ave Ste 2, Bohemia, NY 11716-2690 | 2017-11-16 |
| 1013450592 | Samantha Siegler | Specialist | 725 Greenbriar Dr, Apt. # 08, Bohemia, NY 11716-3933 | 2016-12-01 |
| 1881144350 | Andrea Dahlem | Specialist | 23 Westwind Dr, Bohemia, NY 11716-3507 | 2016-10-09 |
| 1114370723 | Amanda Kristine Phua | Specialist | 888 Sayville Ave, Bohemia, NY 11716-4318 | 2016-07-19 |
| 1730541020 | Gary Louis Amato | Specialist | 888 Union St, Bohemia, NY 11716-2113 | 2016-03-24 |
| 1013325802 | Christine Marie Lemen | Specialist | 80 Middleton Rd, Apt 9, Bohemia, NY 11716-3925 | 2014-07-24 |
| 1265859359 | Jennifer Spillane | Specialist | 15 Ashford Dr, Bohemia, NY 11716-3959 | 2014-03-26 |
| 1891042263 | Mary Archer | Specialist | 788 Franklyn Ave, Bohemia, NY 11716-4402 | 2012-08-05 |
| 1851655179 | Christine Bode | Specialist | 1629 Washington Ave, Bohemia, NY 11716-1424 | 2012-07-02 |
| 1942564414 | Eileen Patricia Grippo | Specialist | 48 Westminster Dr, Bohemia, NY 11716-3969 | 2012-06-29 |
| Find all providers in BOHEMIA | ||||
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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.