AMANDA CONNELL (NPI# 1205355179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205355179 |
| Entity Type | Individual |
| Full Name | AMANDA CONNELL |
| Practice Address |
15 Horseblock Pl Farmingville NY 11738-1204 |
| Practice Telephone | 6318542552 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 116000464 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972144095 | Amanda Connell | Counselor | 13710 La Mirada Blvd., Straight Talk, La Mirada, CA 90638 | 2019-09-30 |
| 1235538414 | Amanda Connell | Counselor | 3900 Armour Ave, Fort Smith, AR 72904-4317 | 2014-08-14 |
| Street Address |
15 HORSEBLOCK PL |
| City | FARMINGVILLE |
| State | NY |
| Zip Code | 11738-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194735746 | Harold B Luke | Psychiatry & Neurology | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2006-08-08 |
| 1437640331 | Taylor Lynn Reheusser | Social Worker | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2018-05-25 |
| 1184124737 | Rachel Roger | Social Worker | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2018-02-20 |
| 1497265425 | Steve Robert Drago Jr. | Counselor | 15 Horseblock Pl, Farmingville, NY 11738 | 2017-10-04 |
| 1699285619 | Danielle Busch | Counselor | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2017-10-04 |
| 1336668920 | Chloe Elise Fisher-galasso | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2017-09-14 |
| 1417476003 | Amanda Lee | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2017-09-14 |
| 1538688494 | Ariana Faye Katz | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2017-09-12 |
| 1477001121 | Alyssa Semken | Social Worker | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2016-09-12 |
| 1821545666 | Niccole Rosa | Counselor | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2016-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696408 | Kimberly Barbara Mccleary | Registered Nurse | 56 Woodycrest Drive, Farmingville, NY 11738 | 2018-04-19 |
| 1992210231 | Cs Medical Associates, PC | Family Medicine | 100 Granny Road, Suite 2, Farmingville, NY 11738 | 2017-12-08 |
| 1558882522 | Mili Biju | Registered Nurse | 400h Horseblock Road, Suite H, Farmingville, NY 11738 | 2017-06-29 |
| 1184083040 | Patrick O'reilly | Speech-Language Pathologist | 1 Mount Bear Ct, Farmingville, NY 11738 | 2016-02-19 |
| 1780055004 | Nicole Coscia | Specialist | 62 Roberta Ave, Farmingville, NY 11738 | 2015-10-13 |
| 1619313178 | Grace Propper | Nurse Practitioner | 2880 North Ocean Ave, Farmingville, NY 11738 | 2013-05-10 |
| 1952619165 | Shari Ann Pittaro | Occupational Therapy Assistant | 17 1st St, Farmingville, NY 11738 | 2010-09-22 |
| 1134377815 | Sylvia Sayer | Social Worker | 90 Bershire Drive, Farmingville, NY 11738 | 2008-09-05 |
| 1053590018 | Amy G Berk | Registered Nurse | 12 Columbus Ave, Farmingville, NY 11738 | 2007-10-26 |
| 1912069147 | Kathy Rey | Physician Assistant | 450 Clarkson Ave Box 49, Suny-downstate Medical Center, Brooklyn, NY 11738 | 2006-12-14 |
| Find all providers in zip 11738 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366588667 | Michele Van Halem | Student in an Organized Health Care Education/Training Program | 24 Acorn Ave, Farmingville, NY 11738-1705 | 2007-01-30 |
| 1336668920 | Chloe Elise Fisher-galasso | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2017-09-14 |
| 1417476003 | Amanda Lee | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2017-09-14 |
| 1538688494 | Ariana Faye Katz | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2017-09-12 |
| 1396114518 | Samuel Schwartz | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2015-09-17 |
| 1740616218 | Catherine Faro | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2013-09-17 |
| 1295160950 | Ashley M Boruch | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2013-09-12 |
| 1215185145 | Meghan Clancy | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1220 | 2008-09-04 |
| 1114112802 | Melissa Lopez | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2007-09-06 |
| 1255526950 | Devon Lindsay Beatty | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2007-09-06 |
| Find all providers in FARMINGVILLE | ||||
| City | FARMINGVILLE |
| Zip Code | 11738 |
Please comment or provide details below to improve the information on AMANDA CONNELL.
| 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.