ELAINE KAZAKIS (NPI# 1124266424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124266424 |
| Entity Type | Individual |
| Full Name | ELAINE KAZAKIS |
| Practice Address |
4208 Medical Center Dr Fayetteville NY 13066-6642 |
| Mailing Address |
105 Dewolfe Rd Syracuse NY 13224-2249 |
| Practice Telephone | 3153297984 |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 435398-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4208 MEDICAL CENTER DR |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066-6642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
| 1699221432 | Roman Batyuk | Nurse Practitioner | 4100 Medical Center Drive, Fayetteville, NY 13066 | 2016-08-31 |
| 1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| 1124394671 | Susan Hartman Brenizer | Marriage & Family Therapist | 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 | 2012-03-29 |
| 1245541432 | Rene L Converse | Occupational Therapist | 7200 E. Genesee Street, Fayetteville, NY 13066 | 2010-06-23 |
| 1689815805 | Menorah Park Group Residents | Clinic/Center | 12 Jamar Drive, Dewitt, NY 13066 | 2009-03-18 |
| 1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| Find all providers in zip 13066 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164956199 | Lindsey R Sabatini | Clinical Nurse Specialist | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2017-04-17 |
| 1104361864 | Dawn Michelle Smedley | Clinical Nurse Specialist | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2017-01-04 |
| 1134596125 | Jessica Marie Shepherd | Clinical Nurse Specialist | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2015-08-26 |
| 1235517152 | Felicia May | Clinical Nurse Specialist | 3336 N Futrall Dr, Fayetteville, AR 72703-4057 | 2015-05-12 |
| 1013324631 | Melanie Caitlin Haney | Clinical Nurse Specialist | 3232 N North Hills Blvd, Fayetteville, AR 72703-4005 | 2014-07-15 |
| 1528489994 | Deena Michelle Fitzgerald | Clinical Nurse Specialist | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2014-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760022073 | Bohdan Hladun | Clinical Nurse Specialist | 10 Horizon Dr, Huntington, NY 11743-4411 | 2020-01-14 |
| 1801259767 | Ashley Poole | Clinical Nurse Specialist | 262 Kenwood Ave, Rochester, NY 14611-3030 | 2016-03-29 |
| 1760876817 | Kelechi Butler | Clinical Nurse Specialist | 19 Doreen Dr, Staten Island, NY 10303-2136 | 2015-03-26 |
| 1356669998 | Tara Anne Corcoran | Clinical Nurse Specialist | 1040 Main Street, Peekskill, NY 10566-2906 | 2010-05-06 |
| 1386845980 | Carol Ann Joyce | Clinical Nurse Specialist | 21 West 86th St, Suite 308, New York, NY 10024 | 2007-05-30 |
| 1841337714 | Susan R. Cohen | Clinical Nurse Specialist | 110 South Franklin Ave, Lynbrook, NY 11563 | 2007-01-31 |
| 1932272309 | Christine Coolidge Rn Cs Phd PC | Clinical Nurse Specialist | 186 W Montauk Hwy D 1, Hampton Bays, NY 11946 | 2006-11-15 |
| 1629156625 | Florence Williams | Clinical Nurse Specialist | 85 Fifth Ave, 938, New York City, NY 10003-3019 | 2006-11-01 |
| 1326132580 | Gail Berkson Malloy | Clinical Nurse Specialist | 110 Jericho Tpk, Suite 102, Floral Park, NY 11001-2019 | 2006-10-03 |
| 1114035516 | Jacqueline Diane Lilly | Clinical Nurse Specialist | 102 West Utica Street, Oswego, NY 13126 | 2006-08-26 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
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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.