ELISSA H KRAVIS (NPI# 1194200238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194200238 |
| Entity Type | Individual |
| Full Name | ELISSA H KRAVIS |
| Credential | ANP |
| Practice Address |
712 Main St Islip NY 11751-3620 |
| Practice Telephone | 6316663951 |
| Practice Fax Number | 6316663994 |
| Mailing Telephone | 6316663951 |
| Mailing Fax Number | 6316663994 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308873 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE REGISTRATION | 308873 | 01 |
| Street Address |
712 MAIN ST |
| City | ISLIP |
| State | NY |
| Zip Code | 11751-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922084466 | Henry G Moreta | Psychiatry & Neurology | 712 Main St, Islip, NY 11751-3620 | 2005-12-16 |
| 1750829024 | Rose Myrlene Surprise | Nurse Practitioner | 712 Main St, Islip, NY 11751-3620 | 2017-02-07 |
| 1518348028 | Elizabeth Kate Hogan | Registered Nurse | 712 Main St, Islip, NY 11751-3620 | 2015-06-11 |
| 1144538836 | Selina A Williams | Registered Nurse | 712 Main St, Islip, NY 11751-3620 | 2010-09-16 |
| 1902110166 | Antigone Argyriou | Pain Medicine | 712 Main St, Islip, NY 11751-3620 | 2010-07-29 |
| 1982831897 | Cindy Laura Jadoo | Psychiatry & Neurology | 712 Main St, Islip, NY 11751-3620 | 2009-06-18 |
| 1720258239 | Melissa Lauren Bernbaum | Psychiatry & Neurology | 712 Main St, Islip, NY 11751-3620 | 2008-03-11 |
| 1790851939 | Agha M Raza | Psychiatry & Neurology | 712 Main St, Islip, NY 11751-3620 | 2006-11-28 |
| 1275562894 | Karen Blitz-shabbir | Psychiatry & Neurology | 712 Main St, Islip, NY 11751-3620 | 2006-07-03 |
| 1861441933 | Bhupinder S Anand | Psychiatry & Neurology | 712 Main St, Islip, NY 11751-3620 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326528423 | Lindasy Abrams | Clinic/Center | 501 Moffitt Blvd, Islip, NY 11751 | 2018-08-17 |
| 1487149720 | Michael James Rivezzo | Occupational Therapist | 148 Monell Ave, Islip, NY 11751 | 2018-06-28 |
| 1114437894 | Raluchukwu Okonkwo Inc. | Clinic/Center | 59 38th Street, Islip, NY 11751 | 2017-10-06 |
| 1407228844 | Eileen Marie Hannon | Nurse Practitioner | 39 Iron Wood Street, Islip, NY 11751 | 2015-10-26 |
| 1427439132 | Sean Lynch | Podiatrist | 2330 Union Boulevard, Union Medical Plaza, Islip, NY 11751 | 2015-06-18 |
| 1700130002 | Elizabeth C Smith | Speech-Language Pathologist | 355 Cedar Avenue, Islip, NY 11751 | 2012-11-08 |
| 1760792592 | Commack Speech and Language | Early Intervention Provider Agency | 4 Suellen Court, Islip, NY 11751 | 2010-10-14 |
| 1861623472 | Adrian Carlo Lombardi | Family Medicine | 215 Islip Ave Ste 2, Islip, NY 11751 | 2009-07-30 |
| 1154566875 | Pamela J Torres | Social Worker | 2455 Union Blvd Apt, 3a, Islip, NY 11751 | 2008-12-09 |
| 1992978654 | Gloria S Escobar | Family Medicine | 148 Islip Avenue, Suite 27, Islip, NY 11751 | 2008-04-02 |
| Find all providers in zip 11751 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000267 | Veronica Natacha Ramsaroop | Nurse Practitioner | 20 Windsor St, Islip, NY 11751-1618 | 2020-07-21 |
| 1588129274 | David A Burns | Nurse Practitioner | 73 Nassau Ave, Islip, NY 11751-3607 | 2019-02-06 |
| 1306385547 | Samantha Scheer | Nurse Practitioner | 90 Root Ave, Islip, NY 11751-2418 | 2017-02-21 |
| 1407228844 | Eileen Marie Hannon | Nurse Practitioner | 39 Iron Wood Street, Islip, NY 11751 | 2015-10-26 |
| 1205054137 | Melissa Sonya Stockman | Nurse Practitioner | 152 Islip Ave Ste 23, Islip, NY 11751-3225 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
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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.