JACQUELINE M KELDERHOUSE (NPI# 1376628495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376628495 |
| Entity Type | Individual |
| Full Name | JACQUELINE M KELDERHOUSE |
| Credential | FNP |
| Practice Address |
1425 Walton Ave Montefiore School Clinic Bronx NY 10452-6901 |
| Practice Telephone | 7186818088 |
| Practice Fax Number | 7185376015 |
| Mailing Telephone | 7186818088 |
| Mailing Fax Number | 7185376015 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
331520 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1425 WALTON AVE MONTEFIORE SCHOOL CLINIC |
| City | BRONX |
| State | NY |
| Zip Code | 10452-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013098425 | Melinda A. Lando | Nurse Practitioner | 1425 Walton Ave, P.s. 64 School Based Clinicbronxlebanon Hospital, Bronx, NY 10452-6901 | 2006-10-19 |
| 1811468168 | Jossy Gramajo | Speech-Language Pathologist | 1425 Walton Ave, Bronx, NY 10452-6901 | 2018-12-16 |
| 1528535499 | Shiran Nagar | Speech-Language Pathologist | 1425 Walton Ave, Bronx, NY 10452-6901 | 2018-10-30 |
| 1235455288 | Igda Martinez | Psychologist | 1425 Walton Ave, Bronx, NY 10452-6901 | 2010-04-15 |
| 1356665426 | Montefiore Medical Center | Clinic/Center | 1425 Walton Ave, Bronx, NY 10452-6901 | 2010-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961961 | City Medical of Upper East Side, Pllc | Clinic/Center | 48 East 170th Street, Bronx, Ny 10452, Bronx, NY 10452 | 2020-10-27 |
| 1194205096 | Lorraine E Essien | Licensed Practical Nurse | 1491 Macombs Road, Apt 4j, Bronx, NY 10452 | 2018-08-20 |
| 1578042768 | Latisha Monique Williams | Registered Nurse | 1465 Nelson Avenue, #2g, Bronx, NY 10452 | 2018-08-09 |
| 1073022695 | Jenny Amparo Calderon | Case Manager/Care Coordinator | 1265 Gerard Avenue Apt 4f, Bronx, NY 10452 | 2017-09-26 |
| 1881113652 | Vivian Grace Parham | Nurse Practitioner | 1395 Nelson Ave., 2a, Bronx, NY 10452 | 2017-09-13 |
| 1548786288 | James Bishop Jr. | Counselor | 1366 Inwood Ave 1st Floor, Bronx, NY 10452 | 2017-08-15 |
| 1346763315 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 88 Featherbed Ln, Bronx, NY 10452 | 2017-07-21 |
| 1841712205 | Gloria Susanah Tirado | Registered Nurse | 95 W 162nd Street Apt 26, Bronx, NY 10452 | 2017-07-07 |
| 1568999266 | Madeline Mora | Occupational Therapy Assistant | 1424 Shakespeare Ave, Apt# 2fl, Bronx, NY 10452 | 2017-05-12 |
| 1265963995 | Nana Yaa Darkwah | Licensed Practical Nurse | 1475 Wythe Place#6d, Bronx, NY 10452 | 2017-03-24 |
| Find all providers in zip 10452 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1659986701 | Yvette Rosemary Veras | Nurse Practitioner | 3400 Paul Ave Apt 20h, Bronx, NY 10468-1015 | 2020-09-14 |
| 1740894302 | Ajirioghene Ojadi | Nurse Practitioner | 100 Casals Pl Apt 6b, Bronx, NY 10475-3007 | 2020-09-01 |
| 1225641129 | Nancilyma Aidoo | Nurse Practitioner | 1880 Lafayette Ave Apt 20e, Bronx, NY 10473-2721 | 2020-08-28 |
| 1639780679 | Julia Donahue | Nurse Practitioner | 860 Grand Concourse Apt 7h, Bronx, NY 10451-2818 | 2020-08-13 |
| 1053920348 | Genesis Castro | Nurse Practitioner | 2194 Barnes Ave Apt A9, Bronx, NY 10462-1929 | 2020-07-23 |
| 1356969299 | Antoinette G Palmer | Nurse Practitioner | 4015 Wilder Ave, Bronx, NY 10466-2328 | 2020-07-07 |
| 1932726528 | Beena Dacosta | Nurse Practitioner | 3725 Blackstone Avenue, Apt 7e, Bronx, NY 10463 | 2020-06-29 |
| 1124640792 | Violet Nkasiobi Nnaemeka | Nurse Practitioner | 2420 Westchester Ave, Bronx, NY 10461-3569 | 2020-05-17 |
| 1033731260 | Diane Loubeau | Nurse Practitioner | 944 E 233rd St, Bronx, NY 10466-3218 | 2020-05-11 |
| Find all providers in BRONX | ||||
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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.