MRS. STACEY RICKETTS-KIFFIN (NPI# 1477820884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477820884 |
| Entity Type | Individual |
| Full Name | MRS. STACEY RICKETTS-KIFFIN |
| Credential | RN |
| Practice Address |
1510 Waters Pl Bronx NY 10461-2700 |
| Practice Telephone | 3474938503 |
| Mailing Telephone | 3474938503 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
596177-1 | NY | Nursing Service Providers |
| Street Address |
1510 WATERS PL |
| City | BRONX |
| State | NY |
| Zip Code | 10461-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457456162 | Theresa Capra | Physician Assistant | 1510 Waters Pl, Bronx, NY 10461-2700 | 2006-09-14 |
| 1386251502 | Kaelene Marie Tomasulo | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2020-10-01 |
| 1790303410 | Elyssa Torres | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2020-07-09 |
| 1689233140 | Danielle Preziosi | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2019-06-10 |
| 1881182228 | Elisabeth Marie Cornacchia | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2018-05-01 |
| 1861999096 | Julie Ann Cantone | Student in an Organized Health Care Education/Training Program | 1510 Waters Pl, Bronx, NY 10461-2700 | 2018-04-13 |
| 1407353436 | Celeste Classon | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2018-04-06 |
| 1598261679 | John Ambrosio | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2018-04-05 |
| 1922504505 | Luis Angel Cruz | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2018-04-03 |
| 1053817015 | Sherry Samaroo | Counselor | 1510 Waters Pl, Bronx, NY 10461-2700 | 2018-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417459546 | Kristie Matos | Registered Nurse | 2778 3rd Ave, Bronx, NY 10455-4029 | 2018-03-05 |
| 1518401629 | Fawn Erin Medina | Registered Nurse | 2920 Wilson Avenue, Bronx, NY 10469 | 2016-12-08 |
| 1598142572 | James Antoine Beauzile | Registered Nurse | 501 East 161st Street, Apt. 9e, Bronx, NY 10451 | 2015-04-29 |
| 1295078483 | Jericka Daniels | Registered Nurse | 2426 Lurting Ave, Bronx, NY 10469-4404 | 2013-04-05 |
| 1194741769 | Esmine Marcia Mclean | Registered Nurse | 16 Westchester Sq, Bronx, NY 10461-3513 | 2006-07-15 |
| 1497352702 | Shahara Flowers | Registered Nurse | 477 Willis Ave, Bronx, NY 10455-4015 | 2020-10-08 |
| 1376017632 | Ryan Angela Dimayuga | Registered Nurse | 1400 Pelham Parkway South, Bldg 1, 9 West, Bronx, NY 10461 | 2019-01-18 |
| 1003328923 | Iluminada Legaspi | Registered Nurse | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2017-11-01 |
| 1679085930 | Ana Gallardo | Registered Nurse | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2017-10-26 |
| 1467982173 | Nicole Felix II | Registered Nurse | 250 Grand Concourse, Bronx, NY 10451-5430 | 2017-06-14 |
| 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.