FAVOUR OSEMWOTA (NPI# 1114403730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114403730 |
| Entity Type | Individual |
| Full Name | FAVOUR OSEMWOTA |
| Practice Address |
10036 203rd St Hollis NY 11423 |
| Mailing Address |
10036 203rd St Hollis NY 11423-3425 |
| Practice Telephone | 7184138783 |
| Mailing Telephone | 7184138783 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 1114403730 | NY | Nursing Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | 329553 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1114403730 | 05 |
| Street Address |
10036 203RD ST |
| City | HOLLIS |
| State | NY |
| Zip Code | 11423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112668 | Mandip Kaur | Student in an Organized Health Care Education/Training Program | 89 - 06 - 188 Street, First Floor, Hollis, NY 11423 | 2019-12-23 |
| 1437633690 | Lisa Martins-mueller | Speech-Language Pathologist | 90-11 191 St Avenue, Nyc School District 29 Superintendents Office, Hollis, NY 11423 | 2018-09-23 |
| 1114407491 | Moamen Mohamed Hassanen | Physical Therapist | 204-12 Hillside Ave, Hollis, NY 11423 | 2018-08-16 |
| 1417448234 | Hollis Primary Care P.C. | Internal Medicine | 196 22 Hillside Ave, Hollis, NY 11423 | 2018-05-29 |
| 1801309984 | Roh Physical Therapy P.C. | Clinic/Center | 205-16 Jamaica Ave, Hollis, NY 11423 | 2017-11-10 |
| 1780113167 | Lissamma George | Registered Nurse | 88 45 199 Street, Queens, NY 11423 | 2017-06-08 |
| 1881121499 | Calvin Wu | Case Manager/Care Coordinator | 8762 188th Street, Hollis, NY 11423 | 2017-05-12 |
| 1932635182 | Lauren Irene Sutherland | Licensed Practical Nurse | 10216 Farmers Blvd, Hollis, NY 11423 | 2017-05-10 |
| 1023541190 | Gwyneth Julien-squire | Licensed Practical Nurse | 190-25 Woodhull Apt. 3h, Hollis, NY 11423 | 2017-04-06 |
| 1487003117 | Marie Candy | Licensed Practical Nurse | 93-45 202 St, Hollis, NY 11423 | 2016-06-03 |
| Find all providers in zip 11423 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720544570 | Chante Marie Lennon | Licensed Practical Nurse | 9160 193rd St Apt 4h, Hollis, NY 11423-3524 | 2019-02-18 |
| 1760970271 | Marie Rose Jorelus | Licensed Practical Nurse | 18419 90th Ave, Hollis, NY 11423-1706 | 2018-04-30 |
| 1912420605 | Sherly Horeb | Licensed Practical Nurse | 9341 202nd St, Hollis, NY 11423-3016 | 2017-07-25 |
| 1932635182 | Lauren Irene Sutherland | Licensed Practical Nurse | 10216 Farmers Blvd, Hollis, NY 11423 | 2017-05-10 |
| 1023541190 | Gwyneth Julien-squire | Licensed Practical Nurse | 190-25 Woodhull Apt. 3h, Hollis, NY 11423 | 2017-04-06 |
| 1487003117 | Marie Candy | Licensed Practical Nurse | 93-45 202 St, Hollis, NY 11423 | 2016-06-03 |
| 1245696632 | Maureen Robinson | Licensed Practical Nurse | 10206 186th St, Hollis, NY 11423-3108 | 2016-01-14 |
| 1851763163 | Melissa Mcbain | Licensed Practical Nurse | 9438 201st St, Hollis, NY 11423-3046 | 2015-10-26 |
| 1669857819 | Michelle Thompson | Licensed Practical Nurse | 9915 198th St, Hollis, NY 11423-3321 | 2015-07-29 |
| 1548655376 | Donald Stephen | Licensed Practical Nurse | 19709 90th Ave, Hollis, NY 11423-2619 | 2015-03-30 |
| Find all providers in HOLLIS | ||||
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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.