ANNA ELIZABETH DOMIANO (NPI# 1164038881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164038881 |
| Entity Type | Individual |
| Full Name | ANNA ELIZABETH DOMIANO |
| Credential | MS |
| Practice Address |
149 N Main St Fairport NY 14450-1434 |
| Mailing Address |
85 Summit St Fairport NY 14450-2527 |
| Practice Telephone | 5853772230 |
| Practice Fax Number | 5853772243 |
| Mailing Telephone | 5852002247 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
149 N MAIN ST |
| City | FAIRPORT |
| State | NY |
| Zip Code | 14450-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111068 | Anissa Kurian | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2020-10-13 |
| 1386250587 | Megan Corey | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2020-09-22 |
| 1376159087 | Emily Ann Stamer | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2020-09-17 |
| 1366076499 | Mikala Miller | Speech-Language Pathologist | 149 N Main St, Fairport, NY 14450-1434 | 2020-02-27 |
| 1902430317 | Anjoli Marie Moise | Specialist | 149 N Main St, Fairport, NY 14450-1434 | 2020-02-24 |
| 1215588322 | Mary M Reyngoudt | Specialist | 149 N Main St, Fairport, NY 14450-1434 | 2019-09-20 |
| 1043869134 | Melody Moore | Physical Therapy Assistant | 149 N Main St, Fairport, NY 14450-1434 | 2019-09-10 |
| 1467009241 | Rebecca Chodak | Specialist | 149 N Main St, Fairport, NY 14450-1434 | 2019-08-26 |
| 1235786229 | Sarah J Gordner | Specialist | 149 N Main St, Fairport, NY 14450-1434 | 2019-08-23 |
| 1245887686 | Julie Ann Uhl | Physical Therapist | 149 N Main St, Fairport, NY 14450-1434 | 2019-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1477011773 | Meredith Noel Austin-appleton | Pediatrics | Pediatric Urgent Care of Rochester, 6687 Pittsford Palmyra Rd, Fairport, NY 14450 | 2019-03-05 |
| 1659852358 | Linda Demme | Registered Nurse | 29 Pleasant St, Fairport, NY 14450 | 2018-08-22 |
| 1679075154 | Tharaha Thavakumar | Behavior Technician | 6 N. Main Street, Fairport, NY 14450 | 2018-03-01 |
| 1295244309 | Comprehensive Medicine, Pllc | Psychiatry & Neurology | 762 Crosskeys Office Park, Fairport, NY 14450 | 2017-09-21 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1477947786 | Preston Orthodontics, Pllc | Dentist | 2154 Fairport Nine Mile Point Road, Fairport, NY 14450 | 2015-03-25 |
| 1154724334 | Amanda Corrisa Kalsih | Registered Nurse | 95 Evergreen Circle, Fairport, NY 14450 | 2014-10-02 |
| 1295172153 | Pamela Lea Alexander | Skilled Nursing Facility | 41 O,connor Road, Monroe #1 Boces, Fairport, NY 14450 | 2013-05-31 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235767914 | Chelsea Marie Hoke | Student in an Organized Health Care Education/Training Program | 111 S Ridge Trl, Fairport, NY 14450-3821 | 2020-03-30 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1750735684 | Charles Mimken | Student in an Organized Health Care Education/Training Program | 448 Pannell Rd, Fairport, NY 14450-9527 | 2016-04-18 |
| 1073111068 | Anissa Kurian | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2020-10-13 |
| 1386250587 | Megan Corey | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2020-09-22 |
| 1376159087 | Emily Ann Stamer | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2020-09-17 |
| 1558783944 | Joan D Bracaglia | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2014-01-20 |
| 1659696771 | Philip John Derleth | Student in an Organized Health Care Education/Training Program | 1387 Fairport Rd, Suite 640, Fairport, NY 14450-2003 | 2010-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124986 | Khyati Zala | Student in an Organized Health Care Education/Training Program | 143 South Dr, New Hyde Park, NY 11040-2232 | 2020-11-06 |
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1063013936 | Kenneth Yang | Student in an Organized Health Care Education/Training Program | 30 Rover Ln, Hicksville, NY 11801-6253 | 2020-11-05 |
| 1770184061 | Talia Regina Stagnitta | Student in an Organized Health Care Education/Training Program | 134 Shaber Rd, Patchogue, NY 11772-2429 | 2020-11-04 |
| 1316548605 | Caitlin Hitsous Fitzpatrick | Student in an Organized Health Care Education/Training Program | 18 Hampton Ct, Port Washington, NY 11050-3021 | 2020-11-04 |
| 1538760814 | Adam Paul Tamburello | Student in an Organized Health Care Education/Training Program | 4 Foothill Ln, East Northport, NY 11731-4107 | 2020-11-04 |
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1255932539 | Jordan Taylor Rucks | Student in an Organized Health Care Education/Training Program | 17 Hollingsworth Pl, Centereach, NY 11720-2111 | 2020-11-04 |
| 1639770266 | Fahad Gul Khan | Student in an Organized Health Care Education/Training Program | 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 | 2020-11-02 |
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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.