GRACE JETAWO (NPI# 1164974069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164974069 |
| Entity Type | Individual |
| Full Name | GRACE JETAWO |
| Credential | RN |
| Practice Address |
547 Saw Mill River Rd Suite 3a Ardsley NY 10502-2143 |
| Mailing Address |
45 Twin Pines Dr Apt 13c Brooklyn NY 11239-1810 |
| Practice Telephone | 2126877464 |
| Mailing Telephone | 3477492492 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 698471-1 | NY | Nursing Service Providers |
| Street Address |
547 SAW MILL RIVER RD SUITE 3A |
| City | ARDSLEY |
| State | NY |
| Zip Code | 10502-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366432890 | Rivertowns Pediatric Dentistry | Dentist | 547 Saw Mill River Rd, Suite 2a, Ardsley, NY 10502-2143 | 2005-10-26 |
| 1881257467 | Jennelle Fraser | Licensed Practical Nurse | 547 Saw Mill River Rd, Ardsley, NY 10502-2143 | 2019-04-18 |
| 1780147595 | Alicia Andrew | Licensed Practical Nurse | 547 Saw Mill River Rd, Ardsley, NY 10502-2143 | 2019-04-09 |
| 1841753662 | Ramona Dantzler | Licensed Practical Nurse | 547 Saw Mill River Rd, Ardsley, NY 10502-2143 | 2019-04-09 |
| 1952864753 | Laura Ramirez Sosa | Registered Nurse | 547 Saw Mill River Rd, Ardsley, NY 10502-2143 | 2019-04-09 |
| 1942768890 | Michelle Smith | Registered Nurse | 547 Saw Mill River Rd, Ardsley, NY 10502-2143 | 2019-03-11 |
| 1649737461 | Amanda Amador | Licensed Practical Nurse | 547 Saw Mill River Rd, Ardsley, NY 10502-2143 | 2019-02-28 |
| 1366990780 | Daphney Jeanpierre | Licensed Practical Nurse | 547 Saw Mill River Rd, Ardsley, NY 10502 | 2016-09-14 |
| 1306399167 | Mary Michelle Gilbert | Social Worker | 547 Saw Mill River Rd, Ardsley, NY 10502-2143 | 2016-07-28 |
| 1376831040 | Memory Helpers Psychological Services, Pllc | Psychologist | 547 Saw Mill River Rd, Suite Ph, Ardsley, NY 10502-2143 | 2011-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620139 | Judith Tamara Moskowitz | Psychologist | 547 Saw Mill River Road, Suite 26, Ardsley, NY 10502 | 2020-02-05 |
| 1700303930 | John Bohl II | Specialist | 875 Saw Mill River Rd, Ardsley, NY 10502 | 2017-08-28 |
| 1457717506 | Kathleen Kelly Malone, Lcsw LLC | Social Worker | 1 Dell Lane, Ardsley, NY 10502 | 2016-01-05 |
| 1881030245 | Jillian Rose Donnelly | Urology | 1 Mill River Ln Apt 105, Ardsley, NY 10502 | 2013-05-13 |
| 1033465174 | Patricia A Petronella | Specialist | 1053 Sawmill River Rd., Hta of New York, Ardsley, NY 10502 | 2012-07-26 |
| 1730469578 | Mariya Kobi | Student in an Organized Health Care Education/Training Program | 6 Jordan Lane, Ardsley, NY 10502 | 2011-08-25 |
| 1447567300 | Nicole E Fernandes | Psychologist | 700 Ashford Avenue, Ardsley Middle School, Ardsley, NY 10502 | 2010-09-13 |
| 1720226541 | Jennifer Combs Lalor | Speech-Language Pathologist | 410 Saw Mill River Road, Suite 2050, Ardsley, NY 10502 | 2009-02-02 |
| 1548435985 | Adam Scott Weissman | Psychologist | 517 Almena Ave, Ardsley, NY 10502 | 2008-04-28 |
| 1235348095 | Carmen Muniz Cooper | Social Worker | 545 Saw Mill River Road, Suite 3a, Ardsley, NY 10502 | 2007-05-21 |
| Find all providers in zip 10502 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1942768890 | Michelle Smith | Registered Nurse | 547 Saw Mill River Rd, Ardsley, NY 10502-2143 | 2019-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699596 | Calissa Saint Paul | Registered Nurse | 77 Gibson Blvd, Valley Stream, NY 11581-3375 | 2020-11-08 |
| 1386245199 | Alisha Tiffany Howard | Registered Nurse | 19 Lakeside Dr, Centerport, NY 11721-1513 | 2020-11-06 |
| 1114528858 | Melissa Marie Leppard | Registered Nurse | 5092 Jennifer Dr, Syracuse, NY 13212-1009 | 2020-11-06 |
| 1992306831 | Barbara Sam | Registered Nurse | 2889 Baisley Ave Apt 2fl, Bronx, NY 10461-6118 | 2020-11-06 |
| 1134720105 | Marie Degraff | Registered Nurse | 8 Forest Ave, Glen Cove, NY 11542-2122 | 2020-11-05 |
| 1144821158 | Aeneas Kwame Osei | Registered Nurse | 28 Horseshoe Way, Middletown, NY 10940-2334 | 2020-11-05 |
| 1487255543 | Samantha Lee Manzo | Registered Nurse | 1450 Deep Hole Dr, Mattituck, NY 11952-2610 | 2020-11-05 |
| 1295336261 | Janet Esmas | Registered Nurse | 200 Haven Ave Apt 5r, New York, NY 10033-5308 | 2020-11-05 |
| 1376144246 | Jessica Quaranto | Registered Nurse | 4728 Transit Rd Apt B5, Depew, NY 14043-4955 | 2020-11-05 |
| 1871194001 | Anya Khaimova | Registered Nurse | 17656 80th Rd, Jamaica, NY 11432-1409 | 2020-11-04 |
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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.