KELLY A TESTA (NPI# 1164864179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164864179 |
| Entity Type | Individual |
| Full Name | KELLY A TESTA |
| Credential | NP |
| Practice Address |
195 Intrepid Ln Syracuse NY 13205-2548 |
| Practice Telephone | 3154698700 |
| Practice Fax Number | 3156715758 |
| Mailing Telephone | 3154698700 |
| Mailing Fax Number | 3156715758 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2014-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F421124-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
195 INTREPID LN |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346309549 | Robert Jonathan Kiltz | Obstetrics & Gynecology | 195 Intrepid Ln, Syracuse, NY 13205-2548 | 2006-12-06 |
| 1831717487 | Jennifer Anne Anderson | Nurse Practitioner | 195 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-07-10 |
| 1164078952 | Muhua Qiu | Acupuncturist | 195 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-08-16 |
| 1649822586 | Kayla M Cook | Nurse Practitioner | 195 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-07-11 |
| 1093285223 | Faez Faruqi | Obstetrics & Gynecology | 195 Intrepid Ln, Syracuse, NY 13205-2544 | 2018-11-30 |
| 1083135875 | Grace Margaret Michel | Nurse Practitioner | 195 Intrepid Ln, Syracuse, NY 13205-2548 | 2017-06-30 |
| 1962839878 | Kristina Guglielmo | Licensed Practical Nurse | 195 Intrepid Ln, Syracuse, NY 13205-2548 | 2013-10-09 |
| 1538296900 | Margaret Gibbons Marnell | Nurse Practitioner | 195 Intrepid Ln, Syracuse, NY 13205-2548 | 2007-02-27 |
| 1568504298 | Cny Fertility Center | Obstetrics & Gynecology | 195 Intrepid Ln, Syracuse, NY 13205-2548 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473707 | Michelle E Case | Social Worker | 2610 S Salina St Ste 2, Syracuse, NY 13205 | 2018-07-02 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1619379286 | Hope for Us Housing, Inc | Home Health | 5957 South Salina St, Syracuse, NY 13205 | 2014-09-25 |
| 1861822116 | Michael Lee Loudner | Registered Nurse | 4842 Broad Rd, Syracuse, NY 13205 | 2013-11-24 |
| 1285987537 | Teeatta Owens | Licensed Practical Nurse | 114 Mcclure Ave, Syracuse, NY 13205 | 2012-10-24 |
| 1891082533 | Kamaloshini Poovalingam | Student in an Organized Health Care Education/Training Program | 211 Lafayette Road, 604, Syracuse, NY 13205 | 2011-07-01 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1699092361 | Central Park | Nursing Care | 4905 S Salina St., Syracuse, NY 13205 | 2010-04-21 |
| 1215170741 | Toni Ramele Moore | Licensed Practical Nurse | 614 W. Seneca Turnpike, Syracuse, NY 13205 | 2009-04-14 |
| 1851536080 | Shalanda Cherrise Sutton | Licensed Practical Nurse | 228 W. Lafayette Rd, Syracuse, NY 13205 | 2008-12-02 |
| Find all providers in zip 13205 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275666554 | Diane Elliott Meszko | Nurse Practitioner | 421 Montgomery St Fl 9, Syracuse, NY 13202-2923 | 2007-03-14 |
| 1356344311 | Janice Beaman | Nurse Practitioner | 4850 Broad Rd, Ste 2c, Syracuse, NY 13215-5103 | 2005-05-24 |
| 1083135875 | Grace Margaret Michel | Nurse Practitioner | 195 Intrepid Ln, Syracuse, NY 13205-2548 | 2017-06-30 |
| 1477793420 | Donna M Gregory | Nurse Practitioner | 770 James St, Syracuse, NY 13203-2117 | 2009-03-04 |
| 1255579751 | Heather N Barnes | Nurse Practitioner | 770 James St, Syracuse, NY 13203-2117 | 2009-01-22 |
| 1790998896 | Kira Alvarado Fiutak | Nurse Practitioner | 421 Montgomery St, Civic Center 9th Floor, Syracuse, NY 13202-2923 | 2007-05-07 |
| 1538282173 | Lee Elizabeth Quinlan | Nurse Practitioner | 421 Montgomery St Fl 9, Syracuse, NY 13202-2923 | 2007-04-09 |
| 1891815858 | Catherine Ann Huss-johnson | Nurse Practitioner | 736 Irving Ave, Crouse Hospital Np Department, Syracuse, NY 13210-1687 | 2007-03-30 |
| 1073690624 | Therese Brown Mahoney | Nurse Practitioner | 770 James St, Suite 100, Syracuse, NY 13203-2117 | 2006-11-01 |
| 1174601140 | Melanie J Lape Pitts | Nurse Practitioner | 90 Presidential Plz, Women's Health Services, Syracuse, NY 13202-2240 | 2006-11-01 |
| Find all providers in SYRACUSE | ||||
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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.