MRS. TETLA M ROQUES (NPI# 1215088232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215088232 |
| Entity Type | Individual |
| Full Name | MRS. TETLA M ROQUES |
| Credential | RN |
| Practice Address |
122 E 23rd St New York NY 10010-4516 |
| Mailing Address |
3315 Hone Ave Bronx NY 10469-3709 |
| Practice Telephone | 2126777400 |
| Mailing Telephone | 7185155560 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
296438-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | REGISTERED NURSE | 296438-1 | 01 |
| Street Address |
122 E 23RD ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10010-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306809744 | Dara P Richardson | Internal Medicine | 122 E 23rd St, New York, NY 10010-4516 | 2006-04-07 |
| 1184036618 | Joelle Candace Laurenceau | Registered Nurse | 122 E 23rd St, United Cerebral Palsy Medical Clinic, New York, NY 10010-4516 | 2014-06-02 |
| 1942557798 | Mary Beth Kettyle | Registered Nurse | 122 E 23rd St, New York, NY 10010-4516 | 2012-08-11 |
| 1083986863 | Tuwain Pinky Kolleh | Registered Nurse | 122 E 23rd St, New York, NY 10010-4516 | 2012-02-08 |
| 1871885822 | Jillian Aguis | Psychologist | 122 E 23rd St, New York, NY 10010-4516 | 2011-05-10 |
| 1932420205 | Lisa Gail Wigutow | Occupational Therapist | 122 E 23rd St, Ucp of Nyc, New York, NY 10010-4516 | 2010-06-21 |
| 1053634667 | Deborah B. Inman | Registered Nurse | 122 E 23rd St, New York, NY 10010-4516 | 2010-03-10 |
| 1225364904 | Lisa Jean-francois | Registered Nurse | 122 E 23rd St, New York, NY 10010-4516 | 2009-10-30 |
| 1922334358 | United Cerebral Palsy | Day Training, Developmentally Disabled Services | 122 E 23rd St, New York, NY 10010-4516 | 2009-10-20 |
| 1245470780 | Shauna Carole Green | Specialist | 122 E 23rd St, New York, NY 10010-4516 | 2009-02-24 |
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|---|---|---|---|---|
| 1811502768 | Ayodeji Grace Oloke | Counselor | 1133 Broadway, Suite 640, New York, NY 10010 | 2020-09-08 |
| 1619589553 | Christine Belanga | Student in an Organized Health Care Education/Training Program | 71 West 23rd St, Suite 1400, New York, NY 10010 | 2020-08-21 |
| 1437779766 | Sunny Makhijani | Student in an Organized Health Care Education/Training Program | 423 E 23rd St, New York, Ny 10010, New York, NY 10010 | 2020-04-16 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1750911632 | Repair Physical Therapy PC | Clinic/Center | 204 East 25th Street, Suite 1, New York, NY 10010 | 2020-01-20 |
| 1134789084 | Auth Acupuncture Pllc | Acupuncturist | 20 W.22nd St. Ground Floor, New York, NY 10010 | 2019-06-13 |
| 1649837113 | Metro Community Health Centers, Inc | Clinic/Center | 335 East 24th Street, Suite 1b, New York, NY 10010 | 2019-05-21 |
| 1144703687 | Kimmy Ramotar | Psychologist | 115 E 23rd Street, 3rd Floor, #1513, New York, NY 10010 | 2018-09-11 |
| 1922580406 | Hye Soo Kim | Dentist | 345 E 24th St. 4w, New York, NY 10010 | 2018-08-31 |
| 1487172482 | Dominique Ann Williams | Psychologist | 295 Park Ave South, Apt# 17pho, New York, NY 10010 | 2017-08-30 |
| Find all providers in zip 10010 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
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| 1093349870 | Phyllis Mcevoy | Registered Nurse | 225 Central Dr, Briarcliff Manor, NY 10510-1212 | 2020-03-02 |
| 1548891450 | Veronica Lopez-santana | Registered Nurse | 20 Pierces Rd Apt 61, Newburgh, NY 12550-3244 | 2020-01-29 |
| 1073159398 | Tanya Cornelius | Registered Nurse | 12 S Hedley St, Cheektowaga, NY 14206-2508 | 2019-11-21 |
| 1770129173 | Donna Patricia Parchment | Registered Nurse | 12039 198th St, Saint Albans, NY 11412-3729 | 2019-11-20 |
| 1255982831 | Luz Deliz Santana | Registered Nurse | 76 Starr St Apt 3a, Brooklyn, NY 11237-2299 | 2019-09-24 |
| 1558924118 | Marie Roosevelt Mallebranche | Registered Nurse | 25742 145th Ave, Rosedale, NY 11422-3315 | 2019-04-19 |
| 1336609585 | Caroline Ortiz | Registered Nurse | 1982 University Ave Apt 1d, Bronx, NY 10453-4414 | 2019-03-22 |
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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.