MS. DAWN FAIRLIE (NPI# 1174746499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174746499 |
| Entity Type | Individual |
| Full Name | MS. DAWN FAIRLIE |
| Credential | ANP,GNP,FNP,CDE |
| Practice Address |
4771 Hylan Blvd Staten Island NY 10312-6315 |
| Practice Telephone | 9732169898 |
| Mailing Telephone | 9732169898 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2009-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
314022-1 | NY | Nursing Service Providers |
| N | 163WM1400X |
Registered Nurse Specialization: Nurse Massage Therapist (NMT) |
26NN06671900 | NJ | Nursing Service Providers |
| N | 174400000X | Specialist | 26NN06671900 | NJ | Other Service Providers |
| N | 174400000X | Specialist | F340111-1 | NY | Other Service Providers |
| N | 174400000X | Specialist | F300719-1 | NY | Other Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F332587-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4771 HYLAN BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-6315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427017391 | Steven Richard Banat | Psychiatry & Neurology | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2006-03-20 |
| 1518526839 | Liliya Rozenfeld | Nurse Practitioner | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2019-06-10 |
| 1184179111 | Maria Civille | Nurse Practitioner | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2016-08-19 |
| 1013384106 | Kristin Frances Langford | Physician Assistant | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2015-08-25 |
| 1205202769 | Brinda Swaminarayan | Physical Therapist | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2015-08-18 |
| 1174906325 | Susan Ann Colford-castano | Registered Nurse | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2015-07-07 |
| 1144636713 | James Steven Cohen | Registered Nurse | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2014-07-03 |
| 1801140983 | Alexandra Lorraine Hoffmann-steiman | Nurse Practitioner | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2012-10-29 |
| 1396090411 | Igor Giterman | Family Medicine | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2012-07-14 |
| 1407116551 | Imran Khalid | Internal Medicine | 4771 Hylan Blvd, Staten Island, NY 10312-6315 | 2012-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1215540638 | Shanna Hinckson | Nurse Practitioner | 53 Tillman St, Staten Island, NY 10314-5680 | 2020-08-25 |
| 1104438548 | Amanda Power | Nurse Practitioner | 64 Lovell Ave, Staten Island, NY 10314-4969 | 2020-08-18 |
| 1497367817 | Darya Olekhnovich | Nurse Practitioner | 25 Navesink Pl, Staten Island, NY 10306-5622 | 2020-08-18 |
| 1194335372 | Kimberly Sage | Nurse Practitioner | 36 Carly Ct, Staten Island, NY 10309-2735 | 2020-08-03 |
| 1932718855 | Christine Louise Lutrario | Nurse Practitioner | 293 Edinboro Rd, Staten Island, NY 10306-1204 | 2020-07-27 |
| 1447877592 | Mirena Khaimova | Nurse Practitioner | 302 Getz Ave, Staten Island, NY 10312-2433 | 2020-07-05 |
| 1063039220 | Hima Girish | Nurse Practitioner | 64 Galloway Ave, Staten Island, NY 10302-2528 | 2020-07-02 |
| 1245854314 | Desiree Joy Ambrosio | Nurse Practitioner | 45 Burnside Ave, Staten Island, NY 10302-2302 | 2020-06-03 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10312 |
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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.