MRS. ROSE M SHEA (NPI# 1174674725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174674725 |
| Entity Type | Individual |
| Full Name | MRS. ROSE M SHEA |
| Credential | LMSW |
| Practice Address |
420 Ivy Pl Johnson City NY 13790-4933 |
| Practice Telephone | 6072174966 |
| Mailing Telephone | 6072174966 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
050633-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
420 IVY PL |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497508 | Emily Hand | Counselor | 1200 Southwest Ave, Johnson City, TN 37604-6520 | 2020-11-08 |
| 1447860192 | Kasey Smith | Counselor | 2349 Ranch Road 1323, Johnson City, TX 78636-4787 | 2020-08-07 |
| 1912547142 | David Earl Ramsey | Counselor | 170 Frank Humphreys Ln, Johnson City, TN 37601-3637 | 2020-01-15 |
| 1003329517 | Summit Counseling Services LLC | Counselor | 4132 Bristol Hwy Ste 5, Johnson City, TN 37601-3162 | 2017-11-07 |
| 1952642811 | Cathaleen Lynn Blake | Counselor | 2700 S Roan St Ste 203, Johnson City, TN 37601-7557 | 2013-03-01 |
| 1609101575 | Mary E Marley | Counselor | 2700 S Roan St Ste 400, Johnson City, TN 37601-7678 | 2009-10-12 |
| 1811141344 | Tonya L. Mckoy | Counselor | 1735 W State of Franklin Rd # 5-227, Johnson City, TN 37604-6573 | 2008-11-11 |
| 1346415254 | Danny Kellum | Counselor | 2722 E Oakland Ave, Johnson City, TN 37601-1844 | 2008-04-23 |
| 1487847091 | Artemis Enrichment & Learning Center, LLC | Counselor | 112 East Myrtle Avenue, Suite 408, Johnson City, TN 37601 | 2007-08-27 |
| 1922181817 | Lynda Barrett Hargroves | Counselor | 4132 Bristol Hwy, Parkside Center Suite 3, Johnson City, TN 37601-2932 | 2006-10-23 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on MRS. ROSE M SHEA.
| 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.