REALITY AWARENESS OUTREACH INC (NPI# 1447767025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447767025 |
| Entity Type | Organization |
| Organization Name | REALITY AWARENESS OUTREACH INC |
| Practice Address |
117 S Collingwood Ave Syracuse NY 13206 |
| Mailing Address |
117 S Collingwood Ave Syracuse NY 13206-2937 |
| Practice Telephone | 3155679934 |
| Mailing Telephone | 3155679934 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | MR. ISAAC RIVERS JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3155679934 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 175T00000X | Peer Specialist | Other Service Providers | ||
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REALITY AWARENESS OUTREACH INC | 117 S Collingwood Avenue Apt 2, Syracuse, NY 13206-2937 |
| Street Address |
117 S COLLINGWOOD AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336248 | Amanda E Vadala | Dietitian, Registered | 216 Conklin Ave, Syracuse, NY 13206 | 2020-08-12 |
| 1265099378 | Trina Leigh-marie Stearns | Licensed Practical Nurse | 525 Mosley Drive, Syracuse, NY 13206 | 2019-05-23 |
| 1821583436 | Jacqueline Amanda Weiner | Marriage & Family Therapist | 3532 James Street, Syracuse, NY 13206 | 2018-06-26 |
| 1790296325 | Rachel Segrue | Registered Nurse | 420 Ridgewood Dt, Syracuse, NY 13206 | 2017-10-23 |
| 1013391754 | Iva Kay Peterson | Registered Nurse | 308 Nichols Ave, Syracuse, NY 13206 | 2015-07-13 |
| 1730433673 | April Hanson | Licensed Vocational Nurse | 157 South Midler Ave, Syracuse, NY 13206 | 2012-10-30 |
| 1669722237 | Kimberly Tortorici | Specialist | 1951 Caleb Avenue, Syracuse, NY 13206 | 2012-09-11 |
| 1669769394 | Janiqua M Davis | Licensed Practical Nurse | 158 Lynwood Ave, Apt. 1, Syracuse, NY 13206 | 2011-07-01 |
| 1871886960 | Gina Tornatore | Pharmacist | 1820 Teall Ave., Syracuse, NY 13206 | 2011-05-23 |
| 1922258524 | Ann Marie Sullivan | Occupational Therapist | 7041 Manlius Center Rd., East Syracuse, NY 13206 | 2008-09-19 |
| Find all providers in zip 13206 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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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.