RINI SIMON CHENNATTU (NPI# 1417432394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417432394 |
| Entity Type | Individual |
| Full Name | RINI SIMON CHENNATTU |
| Credential | PMHNP-BC |
| Practice Address |
165 Main St Cortland NY 13045-3049 |
| Practice Telephone | 8455360732 |
| Mailing Telephone | 8455360732 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402446 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
165 MAIN ST |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210589 | Eva Pauline Grove | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-1304 | 2020-09-18 |
| 1295354496 | Michael Johnson | Peer Specialist | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2020-04-09 |
| 1619596822 | Alexandra Starmer | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2020-04-09 |
| 1104465517 | Charlotte Sweeney | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2020-01-02 |
| 1174162788 | Pamela Lynn Sanders | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-12-30 |
| 1629617634 | Allysan Loope | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-12-23 |
| 1265074876 | Alexandra Mikowski | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-10-15 |
| 1649820457 | Christopher Hyde | Peer Specialist | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-09-13 |
| 1285283945 | Melissa Compton | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-09-05 |
| 1245889922 | Lisa Stoothoff | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205303344 | Anne Elizabeth Hewitt | Nurse Practitioner | 16 Crawford St, Cortland, NY 13045-3200 | 2018-10-26 |
| 1689283111 | Jennifer Beach | Nurse Practitioner | 7 Clayton Ave, Cortland, NY 13045-2501 | 2020-07-30 |
| 1639663966 | Sarah Chambers | Nurse Practitioner | 7 Clayton Ave, Cortland, NY 13045-2501 | 2018-06-20 |
| 1154730232 | Melanie Novick | Nurse Practitioner | 10 N Main St, Cortland, NY 13045-2130 | 2014-08-04 |
| 1578827341 | Shannon Victoria Drake | Nurse Practitioner | 10 N Main St, Cortland, NY 13045 | 2012-06-27 |
| 1891769907 | Kathleen M Lacson | Nurse Practitioner | 134 Homer Ave, Cortland, NY 13045-1206 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
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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.