MRS. ANDREA FACCIOLI (NPI# 1134510969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134510969 |
Entity Type | Individual |
Full Name | MRS. ANDREA FACCIOLI |
Practice Address |
502 Court St Ste 210 Utica NY 13502-4233 |
Practice Telephone | 3155075800 |
Practice Fax Number | 3155075802 |
Mailing Telephone | 3155075800 |
Mailing Fax Number | 3155075802 |
Enumeration Date | 2015-02-16 |
Last Update Date | 2015-02-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
661972 | NY | Nursing Service Providers |
Street Address |
502 COURT ST STE 210 |
City | UTICA |
State | NY |
Zip Code | 13502-4233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831719087 | John Michael Ingro Jr. | Licensed Practical Nurse | 502 Court St Ste 210, Utica, NY 13502-4233 | 2020-04-17 |
1902444227 | Stacey Marie Griffith | Social Worker | 502 Court St Ste 210, Utica, NY 13502-4233 | 2019-12-17 |
1477117661 | Desiree' Nemo | Counselor | 502 Court St Ste 210, Utica, NY 13502-4233 | 2019-04-24 |
1629537808 | Karizma C Bowers | Counselor | 502 Court St Ste 210, Utica, NY 13502-4233 | 2019-03-18 |
1871077412 | Debra Lynn Marshall | Counselor | 502 Court St Ste 210, Utica, NY 13502-4233 | 2018-09-19 |
1639665706 | Carlos A Hagans | Registered Nurse | 502 Court St Ste 210, Utica, NY 13502-4233 | 2018-07-02 |
1023545274 | Alicia Marie Crouse | Counselor | 502 Court St Ste 210, Utica, NY 13502-4233 | 2017-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
Find all providers in zip 13502 |
Taxonomy Code | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639665706 | Carlos A Hagans | Registered Nurse | 502 Court St Ste 210, Utica, NY 13502-4233 | 2018-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013528363 | Ophelia Medical Group Ny, P.C. | Registered Nurse | 755 Park Ave Apt 4a, New York, NY 10021-4282 | 2020-08-11 |
1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
1811533151 | Kay Lobo Cordes | Registered Nurse | 6501 E Inducon Drive, Sanborn, NY 14132 | 2019-11-21 |
1396393633 | Emmanuelle Sheridan | Registered Nurse | 102 Fountain Ave, Selden, NY 11784-1908 | 2019-08-29 |
1750846267 | Shaedele Renise Desamours | Registered Nurse | 1825 Park Ave Fl 8, New York, NY 10035-1641 | 2019-02-08 |
1417459546 | Kristie Matos | Registered Nurse | 2778 3rd Ave, Bronx, NY 10455-4029 | 2018-03-05 |
1982116166 | Angela Douglas | Registered Nurse | 1001 E 55th St, Brooklyn, NY 11234-1701 | 2017-10-28 |
1669994497 | Sheila Lenora Eastmond-chapman | Registered Nurse | 547 Pine St, Brooklyn, NY 11208-3901 | 2017-07-13 |
1184160814 | Christopher Cox | Registered Nurse | 46 5th Ave S, Huntington Station, NY 11746-2343 | 2017-01-19 |
1518401629 | Fawn Erin Medina | Registered Nurse | 2920 Wilson Avenue, Bronx, NY 10469 | 2016-12-08 |
Find all providers with the same taxonomy |
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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.