YOLANDA JEFFERSON (NPI# 1275175721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275175721 |
| Entity Type | Individual |
| Full Name | YOLANDA JEFFERSON |
| Credential | CRPA-P |
| Practice Address |
181 Canal St New York NY 10013-4512 |
| Practice Telephone | 2129669537 |
| Mailing Telephone | 2129669537 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 3999 | NY | Other Service Providers |
| Street Address |
181 CANAL ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10013-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245710896 | Catherine Elizabeth Maguire | Counselor | 181 Canal St, New York, NY 10013-4512 | 2018-08-14 |
| 1043819626 | Rita Finta | Counselor | 181 Canal St, New York, NY 10013-4512 | 2020-10-23 |
| 1861091597 | Joseph Christopher Cochran | Counselor | 181 Canal St, New York, NY 10013-4512 | 2020-10-23 |
| 1205435922 | Mohammed Ikramul Haque | Counselor | 181 Canal St, New York, NY 10013-4512 | 2020-10-23 |
| 1801495197 | Miryam Maribel Derosso | Counselor | 181 Canal St, New York, NY 10013-4512 | 2020-10-19 |
| 1427668540 | Joshua John Vega | Counselor | 181 Canal St, New York, NY 10013-4512 | 2020-08-04 |
| 1689291585 | Jaclyn Marie Fennell | Counselor | 181 Canal St, New York, NY 10013-4512 | 2020-06-26 |
| 1790302602 | Jennette Montalvo | Counselor | 181 Canal St, New York, NY 10013-4512 | 2020-06-26 |
| 1861012817 | Amanda Elizabeth Dimarinis | Counselor | 181 Canal St, New York, NY 10013-4512 | 2020-04-20 |
| 1336774322 | Judith Cruz | Counselor | 181 Canal St, New York, NY 10013-4512 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911547 | Alexander Rances, Do P.C. | Anesthesiology | 123 Lafayette Street, 5th Floor, New York, NY 10013 | 2020-08-07 |
| 1285263806 | Dcw Providers, P.a. | Family Medicine | 394 Broadway 3rd Floor, New York, NY 10013 | 2020-04-06 |
| 1083249411 | Phoebe Richman | Social Worker | 121 Ave of The Americas, New York, NY 10013 | 2020-03-05 |
| 1366087868 | Kelsey C Sjolund | Speech-Language Pathologist | Speak Out New York, 100 Reade Street C/o Gymboree, Tribeca, NY 10013 | 2019-11-08 |
| 1720560717 | Julia I Pema Dolma Gutman | Social Worker | 85 Bayard St, Suite 4, New York, NY 10013 | 2018-09-05 |
| 1881187169 | Markus Burrell | Social Worker | 350 Canal St # 574p, New York, NY 10013 | 2018-06-11 |
| 1659879799 | Shui-fong Chong | Acupuncturist | 139 Centre Street, Suite 315, New York, NY 10013 | 2018-01-23 |
| 1174037758 | Oculus Medical Eye Care PC | Ophthalmology | 139 Centre St Ste 618, New York, NY 10013 | 2017-11-19 |
| 1528570397 | Lauren Haythe | Acupuncturist | 481 Broadway, Suite 3, Manhattan, NY 10013 | 2017-11-01 |
| 1235648395 | William L Jim | Occupational Therapist | 139 Centre St Ste 814, New York, NY 10013 | 2017-09-21 |
| Find all providers in zip 10013 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295243889 | Robert Shum | Peer Specialist | 275 Cherry Street Apt.7a, New York, NY 10002 | 2018-01-17 |
| 1457702680 | Kinsey Mcmanus | Peer Specialist | 505 8th Ave Rm 1103, New York, NY 10018-4541 | 2016-06-29 |
| 1215543301 | Malgorzata Kaluza-marciniak | Peer Specialist | 57 Saint Marks Pl, New York, NY 10003-7902 | 2020-09-23 |
| 1477169860 | Christine Guadagno | Peer Specialist | 1900 2nd Ave, New York, NY 10029-7406 | 2020-09-21 |
| 1972122265 | Emely Reyes | Peer Specialist | 302 W 91st St, New York, NY 10024-1011 | 2020-04-16 |
| 1114556891 | Victoria Gambino | Peer Specialist | 302 W 91st St, New York, NY 10024-1011 | 2020-04-05 |
| 1740811124 | Ray Marrero | Peer Specialist | 1369 Broadway Fl 2, New York, NY 10018-7215 | 2020-02-04 |
| 1538705439 | Helena Ardean Adams | Peer Specialist | 1900 2nd Ave Fl 12, New York, NY 10029-7406 | 2019-11-26 |
| 1730739558 | Jenesis Lynn Torres | Peer Specialist | 1900 2nd Ave Fl 12, New York, NY 10029-7406 | 2019-09-13 |
| 1275183097 | Angel Julio Vazquez | Peer Specialist | 1900 2nd Ave Fl 12, New York, NY 10029-7406 | 2019-09-13 |
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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.