KRISTA CLEVER (NPI# 1225316227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225316227 |
| Entity Type | Individual |
| Full Name | KRISTA CLEVER |
| Other Name | KRISTA GULCZYNSKI |
| Credential | DNP, APN |
| Practice Address |
4535 Southwestern Blvd Ste 704 Hamburg NY 14075-1870 |
| Practice Telephone | 7166893333 |
| Practice Fax Number | 7166899695 |
| Mailing Telephone | 7166893333 |
| Mailing Fax Number | 7166899695 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
639149 | NY | Nursing Service Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
71005615A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201315330 | 05 |
| Street Address |
4535 SOUTHWESTERN BLVD STE 704 |
| City | HAMBURG |
| State | NY |
| Zip Code | 14075-1870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781281 | Devan Fischer | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Woods Road, Hamburg, NY 14075 | 2020-05-15 |
| 1417590746 | Jackson Mar | Counselor | 140 Pine St., Hamburg, NY 14075 | 2019-10-18 |
| 1831666122 | Andrea Lynn Baron | Physician Assistant | 5022 Morgan Parkway, Hamburg, NY 14075 | 2018-10-25 |
| 1164905584 | Michael Grundtisch | Physical Therapist | 5284 Briercliff Drive, Hamburg, NY 14075 | 2018-09-11 |
| 1629571187 | Dawn Rydzynski | Counselor | 140 Pin St, Hamburg, NY 14075 | 2018-03-12 |
| 1760990873 | Buffalo Orthopaedic Group, LLP | Orthopaedic Surgery | 4901 Camp Rd. Suite 100, Buffalo Orthopaedic Group, LLP, Hamburg, NY 14075 | 2018-01-11 |
| 1821500562 | Theresa M Tripi | Counselor | 140 Pin Street, Hamburg, NY 14075 | 2017-11-03 |
| 1831548841 | Mary Coble | Student in an Organized Health Care Education/Training Program | 6490-17 Taylor Road, Hamburg, NY 14075 | 2016-06-09 |
| 1700287737 | Jessica Schreiner | Occupational Therapist | 6490-17 Taylor Rd, Hamburg, NY 14075 | 2014-09-09 |
| 1235576976 | Christina Lowman | Dietitian, Registered | 4535 Southwestern Blvd Suite 804a, Southtowns Medical and Professional Park, Hamburg, NY 14075 | 2013-06-03 |
| Find all providers in zip 14075 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862804 | Empire Np Psychiatric Care, Pllc | Clinical Nurse Specialist | 22 Nottingham Way, Cohoes, NY 12047-4972 | 2020-02-11 |
| 1710522875 | Upstate Ketamine Care | Clinical Nurse Specialist | 3300 Monroe Ave Ste 319, Rochester, NY 14618-4617 | 2019-11-13 |
| 1083840383 | Deborah Maxine Torres | Clinical Nurse Specialist | 184 Quaspeck Blvd, Valley Cottage, NY 10989-2428 | 2009-06-02 |
| 1306043203 | John Charles Azzopardi | Clinical Nurse Specialist | 220 E 87th St, Office Suite L.a., New York, NY 10128-3127 | 2007-07-02 |
| 1033268453 | Laura Kleinerman | Clinical Nurse Specialist | 156 West 86th Street, 1c, New York, NY 10024-4029 | 2007-01-09 |
| 1437250206 | Nancy C Seddio | Clinical Nurse Specialist | 39 Nippon Ave, Staten Island, NY 10312 | 2006-09-26 |
| 1295761070 | Beth A. Vandenberg | Clinical Nurse Specialist | 580 Pleasant View Dr, Lancaster, NY 14086-1404 | 2006-06-24 |
| 1457337404 | Lynn D Mitchell | Clinical Nurse Specialist | 629 W Main St, Riverhead, NY 11901-2842 | 2005-12-21 |
| 1124625074 | Danielle Damas | Clinical Nurse Specialist | 455 Tarrytown Rd Ste 1594, White Plains, NY 10607-1313 | 2020-10-05 |
| 1790303543 | Mary F Drost | Clinical Nurse Specialist | 155 Indian Head Rd, Commack, NY 11725-2212 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
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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.