MS. KELLY HAMBLIN (NPI# 1427310150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427310150 |
| Entity Type | Individual |
| Full Name | MS. KELLY HAMBLIN |
| Other Name | MS. KELLY COOPER |
| Credential | MS |
| Practice Address |
380 Washington Ave Roosevelt NY 11575-1845 |
| Mailing Address |
380 Washington Dr Roosevelt NY 11575 |
| Practice Telephone | 5163782000 |
| Mailing Telephone | 5163782000 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1530171 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770515926 | Kelly L Hamblin | Podiatrist | 2751 W 9000 S, West Jordan, UT 84088 | 2006-07-07 |
| Street Address |
380 WASHINGTON AVE |
| City | ROOSEVELT |
| State | NY |
| Zip Code | 11575-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093743072 | Catherine Finelli | Counselor | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2006-06-29 |
| 1700437860 | Kerry Mogavero | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-09-20 |
| 1093360992 | Jyoti Bariana | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-08-07 |
| 1649824756 | Jennifer Therese Martin | Speech-Language Pathologist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-07-26 |
| 1578036125 | Victoria Marie Genova | Speech-Language Pathologist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-01-07 |
| 1770067258 | Alicia Marie Sauerland | Occupational Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-20 |
| 1316421787 | Pamela Holly Pollack | Physical Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-20 |
| 1962985333 | Patricia Josephine Telford | Specialist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-12 |
| 1912411471 | Damion Singh | Occupational Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2017-11-20 |
| 1952813545 | Elizabeth Zofia Candela-krupp | Dental Hygienist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2017-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235695800 | Joi Emmanuel | Social Worker | 335 East Clinton Avenue, Roosevelt, NY 11575 | 2019-02-19 |
| 1568838654 | Patricia Roots | Licensed Practical Nurse | 76 W Centennial Ave, Roosevelt, NY 11575 | 2015-08-12 |
| 1235413782 | Belle Cleaning Services LLC | Preferred Provider Organization | 64 Elmwood Ave, Roosevelt, NY 11575 | 2011-10-03 |
| 1194970715 | Lisa B. Maniatis-fitting | Physical Therapy Assistant | 360 Washington Ave., Roosevelt, NY 11575 | 2008-11-24 |
| 1629131792 | Naomi Deborah Steinberg | Social Worker | Ucpn-380 Washington Ave, Roosevelt, New York, NY 11575 | 2006-12-19 |
| 1750340212 | Eleanor Babinski | Pediatrics | 150 E. Sunrise Hwy, Suite 105, Lindenhurst, NY 11575 | 2006-03-22 |
| 1558778407 | Eac, Inc. | Day Training, Developmentally Disabled Services | 50 Clinton Street, Hempstead, NY 11575 | 2014-07-11 |
| 1720415342 | Kristen Leigh Gaglio | Specialist | 380 Washington Avenue, Roosevelt, NY 11575 | 2013-09-27 |
| 1083992192 | Stefanie Gofter | Occupational Therapist | 380 Washington Avenue, Roosevelt, NY 11575 | 2011-07-25 |
| 1437304045 | Bobby Nabeyama | Physical Therapist | 360 Washington Ave, Roosevelt, NY 11575 | 2008-11-24 |
| Find all providers in zip 11575 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013449834 | Jennie Lavia | Specialist | 31 Dawes Ave, Roosevelt, NY 11575-2111 | 2017-03-30 |
| 1780139881 | Gem Magdalen Barton | Specialist | 131 W Fulton Ave, Roosevelt, NY 11575-2026 | 2016-08-18 |
| 1316395999 | Silviana Mestizo | Specialist | 3 Decatur St, Roosevelt, NY 11575-2208 | 2016-05-24 |
| 1518397645 | Lyndsay J Wright | Specialist | 120 Hudson Ave, Roosevelt, NY 11575-2009 | 2013-11-27 |
| 1578818001 | Stephanie L Williams | Specialist | 6 Bainbride Street, Roosevelt, NY 11575-0040 | 2012-07-20 |
| 1013270149 | Deisy Del Rosario Fernandez | Specialist | 106 Taylor Ave, Roosevelt, NY 11575-2023 | 2012-06-22 |
| 1962483024 | Mark Oliver Hansen | Specialist | 210 N 300 W, Roosevelt, UT 84066-2334 | 2005-11-07 |
| 1962985333 | Patricia Josephine Telford | Specialist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-12 |
| 1699142042 | Cynthia Geraghty | Specialist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2015-09-01 |
| 1841675758 | Denise Metzguer | Specialist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2015-07-22 |
| Find all providers in ROOSEVELT | ||||
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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.