MRS. ANASTASIA KEISIDIS (NPI# 1346519113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346519113 |
| Entity Type | Individual |
| Full Name | MRS. ANASTASIA KEISIDIS |
| Credential | R.N. |
| Practice Address |
139 Fairbanks Rd Churchville NY 14428-9782 |
| Mailing Address |
3 Town Pump Cir Spencerport NY 14559-9734 |
| Practice Telephone | 5852934541 |
| Practice Fax Number | 5852934513 |
| Mailing Telephone | 5855943155 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
455357 | NY | Nursing Service Providers |
| Street Address |
139 FAIRBANKS RD |
| City | CHURCHVILLE |
| State | NY |
| Zip Code | 14428-9782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285791020 | Churchville-chili Central School District | Local Education Agency (LEA) | 139 Fairbanks Rd, Churchville, NY 14428-9782 | 2007-01-02 |
| 1639615552 | Kelli Kloch | Registered Nurse | 139 Fairbanks Rd, Churchville, NY 14428-9782 | 2017-01-17 |
| 1275947921 | Penny Lee Wolff | Speech-Language Pathologist | 139 Fairbanks Rd, Churchville, NY 14428-9782 | 2014-06-19 |
| 1295005759 | Pamela Marie Allen | Occupational Therapist | 139 Fairbanks Rd, Churchville, NY 14428-9782 | 2011-12-30 |
| 1417226341 | Sandra Iacucci | Registered Nurse | 139 Fairbanks Rd, Churchville, NY 14428-9782 | 2011-12-21 |
| 1225346331 | Renee T Yunker | Speech-Language Pathologist | 139 Fairbanks Rd, Churchville, NY 14428-9782 | 2010-09-23 |
| 1821235961 | Christine Anne Wernle | Physical Therapist | 139 Fairbanks Rd, Building 100-a, Churchville, NY 14428-9782 | 2009-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427214329 | Pinaki Sett | Pharmacist | 42 B South Main Street, Churchville, NY 14428 | 2008-07-31 |
| 1528192879 | Suzanne C Ivancic | Social Worker | 53 West Main Street, Honeoye Falls, NY 14428 | 2007-03-16 |
| 1437267184 | Robert D. Schubmehl | Dentist | 42-f South Main Street, Churchville, NY 14428 | 2006-08-25 |
| 1639282486 | Linda S Schmalfuss | Registered Nurse | 35 Attridge Rd, Churchville, NY 14428 | 2006-08-16 |
| 1639277643 | Churchville Pharmacy Inc | Pharmacy | 42 S Main St, Churchville, NY 14428 | 2006-09-21 |
| 1700407004 | Ethel M Webb | Contractor | 495 Attridge Road, 2, Churchville, NY 14428-1462 | 2020-04-28 |
| 1225673551 | Samara Daeva Joy Johnson | Specialist/Technologist | 15 Royce Dr, Churchville, NY 14428-8900 | 2019-11-11 |
| 1891183554 | Tammy Williams-cromey | Registered Nurse | 17 Royce Dr, Churchville, NY 14428-8900 | 2015-01-05 |
| 1902115272 | John F. Kissel | Physical Therapist | 408 Dewey St, Churchville, NY 14428-9103 | 2010-10-04 |
| 1376152892 | Kaylin L Stevenson | Registered Nurse | 99 Bangs Rd, Churchville, NY 14428-9105 | 2020-07-30 |
| Find all providers in zip 14428 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215207477 | Katherine Sauter Buckley | Registered Nurse | 5786 Buffalo Rd, Churchville Chii Senior High School, Churchville, NY 14428-9785 | 2012-01-05 |
| 1639615552 | Kelli Kloch | Registered Nurse | 139 Fairbanks Rd, Churchville, NY 14428-9782 | 2017-01-17 |
| 1417226341 | Sandra Iacucci | Registered Nurse | 139 Fairbanks Rd, Churchville, NY 14428-9782 | 2011-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760343 | Dorothy Christine Whitman | Registered Nurse | Wayland -cohocton Central School, 2350 Route 63, Wayland, NY 14572 | 2020-11-06 |
| 1841899028 | Kara Chalk Hartnett | Registered Nurse | 36 Mcmahon Ave, Corning, NY 14830-3316 | 2020-10-20 |
| 1801495056 | Connie L Miller | Registered Nurse | 5825 Catalpa Ave, Ridgewood, NY 11385-5001 | 2020-10-20 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1689281198 | Jessica Fermin | Registered Nurse | 216 Avenue M Apt 1f, Brooklyn, NY 11230-4689 | 2020-09-29 |
| 1700493236 | Leslie Marie Lamirande | Registered Nurse | Van Buren Elementary School, 14 Ford Street, Baldwinsville, NY 13027 | 2020-09-29 |
| 1922615822 | Alyssa Jane Arlen | Registered Nurse | 4704 State Route 149, Hartford, NY 12838 | 2020-09-25 |
| 1790391845 | Anna Kichuk | Registered Nurse | 160 School Ln, Frankfort, NY 13340-4710 | 2020-09-23 |
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1578172219 | Sasha Sara Martell | Registered Nurse | 2119 27th St Apt D1, Astoria, NY 11105-3014 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | CHURCHVILLE |
| Zip Code | 14428 |
Please comment or provide details below to improve the information on MRS. ANASTASIA KEISIDIS.
| 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.