MRS. THERESA MAUREEN PETRAKIS (NPI# 1265741441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265741441 |
| Entity Type | Individual |
| Full Name | MRS. THERESA MAUREEN PETRAKIS |
| Practice Address |
220 Corbett Rd Montgomery NY 12549-2055 |
| Practice Telephone | 8454574810 |
| Mailing Telephone | 8454574810 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
418165 | NY | Nursing Service Providers |
| Street Address |
220 CORBETT RD |
| City | MONTGOMERY |
| State | NY |
| Zip Code | 12549-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265859862 | Pierre Janvier | Licensed Practical Nurse | 11 Pathway, Montgomery, NY 12549 | 2014-03-21 |
| 1932470796 | Patricia Luongo | Registered Nurse | 946 Route 17k, Berea Elementary School, Montgomery, NY 12549 | 2012-01-25 |
| 1124398730 | Gail E Nozell | Speech-Language Pathologist | 141 Union Street, Valley Central School District, Montgomery, NY 12549 | 2012-01-12 |
| 1437450731 | Phyllis Arlene Montanari | Music Therapist | 228 State Route 416, Montgomery, NY 12549 | 2010-11-03 |
| 1831416486 | Diane Leung-diliberto | Pharmacist | 105-a Ward Street, Montgomery, NY 12549 | 2010-04-22 |
| 1477792760 | Kelly Cole | Occupational Therapist | 31 Fernich Ct, Montgomery, NY 12549 | 2009-02-11 |
| 1710123898 | Simone Althea Ercoline | Speech-Language Pathologist | Valley Central School District, 944 State Route 17k, Montgomery, NY 12549 | 2008-12-19 |
| 1780836130 | Janice Mcgrath | Speech-Language Pathologist | 215 Freida Street, Montgomery, NY 12549 | 2008-10-16 |
| 1720239643 | Gregory Bicknell | Nurse Practitioner | 940 Route 17k, Montgomery, NY 12549 | 2008-10-09 |
| 1023271764 | Kole Stewart Miller | Dentist | 2 Didio Ln, Montgomery, NY 12549 | 2008-07-02 |
| Find all providers in zip 12549 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215404306 | Christian Hill | Registered Nurse | 154 Pronghorn Pl, Montgomery, TX 77316-6402 | 2018-10-27 |
| 1811472178 | Jennifer Dancer | Registered Nurse | 15615 Connie Ln, Montgomery, TX 77316-9467 | 2018-10-02 |
| 1609366442 | Able Home Care Services, LLC | Registered Nurse | 600 South Court Street, Suite 415, Montgomery, AL 36104-4106 | 2018-05-17 |
| 1891162269 | Colleen Conboy | Registered Nurse | 236 Boyd St, Montgomery, NY 12549-1417 | 2015-09-01 |
| 1629639240 | Shelby Lorraine Sheets | Registered Nurse | 10725 Old Pond Dr, Montgomery, OH 45249-3532 | 2019-06-25 |
| 1184885618 | Fe G Politowski | Registered Nurse | 6 Locust Dr, Montgomery, NY 12549-1902 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192575 | Deni L Lobrutto | Registered Nurse | 80 Park Ln, Grand Island, NY 14072-3340 | 2020-10-22 |
| 1386243079 | Melanie Yap | Registered Nurse | 5334 206th St, Oakland Gardens, NY 11364-1714 | 2020-10-22 |
| 1932707155 | Nurselance Health LLC | Registered Nurse | 1044 E 105th St, Brooklyn, NY 11236-3002 | 2020-10-09 |
| 1487260063 | Mei Ling Gilbert | Registered Nurse | 10 Woodside Ave, Elmsford, NY 10523-2810 | 2020-09-19 |
| 1164037180 | Elizabeth Ann Primiano | Registered Nurse | 394 Ocean Ave, Massapequa, NY 11758-5228 | 2020-09-15 |
| 1508471236 | Samantha Kate Saraceno | Registered Nurse | 107 Rumbold Ave, North Tonawanda, NY 14120-4623 | 2020-09-10 |
| 1831703826 | Lateisha Freeman | Registered Nurse | 1 Cross Island Plz Ste 210, Rosedale, NY 11422-1456 | 2020-09-07 |
| 1891307658 | Jessica Ruggiero | Registered Nurse | 59 Rose St, Hastings On Hudson, NY 10706-3410 | 2020-08-21 |
| 1245842053 | Mary Reiner | Registered Nurse | 16 Harold St, Nanuet, NY 10954-3733 | 2020-08-21 |
| 1982221164 | Rebecca Armbrust | Registered Nurse | 225 Hilltop Dr, Elma, NY 14059-9412 | 2020-07-03 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 12549 |
Please comment or provide details below to improve the information on MRS. THERESA MAUREEN PETRAKIS.
| 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.