KELSEY L WILSON-HENJUM (NPI# 1316441769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316441769 |
| Entity Type | Individual |
| Full Name | KELSEY L WILSON-HENJUM |
| Credential | MD |
| Practice Address |
1824 Madison Ave Fl 5 New York NY 10035-3832 |
| Practice Telephone | 2124234500 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1824 MADISON AVE FL 5 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952740268 | Amalia Dorelien | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave Fl 5, New York, NY 10035-3832 | 2013-06-19 |
| 1356978498 | Nicholas Vincent Peracchio | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave Fl 5, New York, NY 10035-3832 | 2020-03-26 |
| 1518521020 | Tonie Mckenzie | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave Fl 5, New York, NY 10035-3832 | 2019-04-30 |
| 1306309018 | Mara Phelan | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave Fl 5, New York, NY 10035-3832 | 2019-04-09 |
| 1730641861 | Elana Cohn | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave Fl 5, New York, NY 10035-3832 | 2019-04-06 |
| 1811491921 | Lara Weiss | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave Fl 5, New York, NY 10035-3832 | 2018-03-22 |
| 1316441553 | Libby Keen Brubaker | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave Fl 5, New York, NY 10035-3832 | 2018-03-21 |
| 1134623739 | Ashley Guadalupe-padgett | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave Fl 5, New York, NY 10035-3832 | 2018-03-20 |
| 1366946840 | Michael Pappas | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave Fl 5, New York, NY 10035-3832 | 2018-03-20 |
| 1508229873 | Medhanit Tekle | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave Fl 5, New York, NY 10035-3832 | 2016-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
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| 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 |
|---|---|---|---|---|
| 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 |
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1558968537 | Yiyang Zhang | Student in an Organized Health Care Education/Training Program | 1000 10th Ave Fl 2, New York, NY 10019-1147 | 2020-10-03 |
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1285241018 | Grace A Forrester | Student in an Organized Health Care Education/Training Program | 517 W 121st St Apt 604s, New York, NY 10027-5901 | 2020-09-25 |
| 1235746199 | Christopher Alexis Perez Lizardo | Student in an Organized Health Care Education/Training Program | 515 W 59th St Apt 29b, New York, NY 10019-1042 | 2020-09-24 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
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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.