EMILY PETTY (NPI# 1245774215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245774215 |
| Entity Type | Individual |
| Full Name | EMILY PETTY |
| Practice Address |
1395 Master St North Tonawanda NY 14120-2209 |
| Practice Telephone | 7169096474 |
| Mailing Telephone | 7169096474 |
| Enumeration Date | 2016-12-11 |
| Last Update Date | 2016-12-11 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295161156 | Emily Petty | Counselor | 222 W Valerio St, Santa Barbara, CA 93101-2930 | 2013-09-23 |
| 1851724116 | Emily Petty | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4388 | 2013-08-09 |
| 1942404827 | Emily Jones Petty | Physician Assistant | 3030 Childrens Way, San Diego, CA 92123-4232 | 2007-06-13 |
| Street Address |
1395 MASTER ST |
| City | NORTH TONAWANDA |
| State | NY |
| Zip Code | 14120-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894888 | Theresa Lynn Rogers | Driver | 40 Carruthers Pl, North Tonawanda, NY 14120 | 2019-08-01 |
| 1861969065 | Christine Elizabeth Oliveri | Physician Assistant | 7348 Graydon Dr., North Tonawanda, NY 14120 | 2018-10-26 |
| 1619444825 | Katherine Gabrielle Rodriguez | Physician Assistant | 6929 Maple Dr., North Tonawanda, NY 14120 | 2018-10-25 |
| 1598204703 | Vicki Ann Dimaria | Registered Nurse | 624 River Road, Suite 8, North Tonawanda, NY 14120 | 2017-02-21 |
| 1720537442 | Twin Cities Meals On Wheels | Home Delivered Meals | 100 Ridge Road, North Tonawanda, NY 14120 | 2016-09-22 |
| 1558712489 | Adeel Amir | Family Medicine | 1089 Kinkead Ave Ste 111, North Tonawanda, NY 14120 | 2016-06-22 |
| 1962850339 | Mary Elizabeth T. Wellence | Counselor | 3376 Niagara Falls Blvd., Suite 5, North Tonawanda, NY 14120 | 2016-05-26 |
| 1154745677 | John Meena Yacoub | Dentist | 30-18 208th St, Bayside, NY 14120 | 2014-02-05 |
| 1780934588 | Patricia Bogdan | Registered Nurse | 89 B River Road, North Tonawanda, NY 14120 | 2012-09-19 |
| 1073871299 | Nicole Kerner | Social Worker | 455 Meadow Drive, North Tonawanda, NY 14120 | 2012-04-25 |
| Find all providers in zip 14120 | ||||
| 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 |
|---|---|---|---|---|
| 1275161044 | Michael Donahue | Student in an Organized Health Care Education/Training Program | 1003 Thomas Fox Dr E, North Tonawanda, NY 14120-2935 | 2020-03-29 |
| 1518490747 | Stephanie Rose Czaja | Student in an Organized Health Care Education/Training Program | 189 Lincoln Ave, North Tonawanda, NY 14120-7214 | 2017-04-05 |
| 1508240987 | Joscelynn Baio | Student in an Organized Health Care Education/Training Program | 1459 Payne Ave, North Tonawanda, NY 14120-2554 | 2015-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124986 | Khyati Zala | Student in an Organized Health Care Education/Training Program | 143 South Dr, New Hyde Park, NY 11040-2232 | 2020-11-06 |
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1063013936 | Kenneth Yang | Student in an Organized Health Care Education/Training Program | 30 Rover Ln, Hicksville, NY 11801-6253 | 2020-11-05 |
| 1770184061 | Talia Regina Stagnitta | Student in an Organized Health Care Education/Training Program | 134 Shaber Rd, Patchogue, NY 11772-2429 | 2020-11-04 |
| 1316548605 | Caitlin Hitsous Fitzpatrick | Student in an Organized Health Care Education/Training Program | 18 Hampton Ct, Port Washington, NY 11050-3021 | 2020-11-04 |
| 1538760814 | Adam Paul Tamburello | Student in an Organized Health Care Education/Training Program | 4 Foothill Ln, East Northport, NY 11731-4107 | 2020-11-04 |
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1255932539 | Jordan Taylor Rucks | Student in an Organized Health Care Education/Training Program | 17 Hollingsworth Pl, Centereach, NY 11720-2111 | 2020-11-04 |
| 1639770266 | Fahad Gul Khan | Student in an Organized Health Care Education/Training Program | 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | NORTH TONAWANDA |
| Zip Code | 14120 |
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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.