DONNA ANN GOULETTE (NPI# 1487207189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487207189 |
| Entity Type | Individual |
| Full Name | DONNA ANN GOULETTE |
| Practice Address |
146 Pike St Port Jervis NY 12771-1808 |
| Mailing Address |
30 Harriman Dr Goshen NY 10924-2410 |
| Practice Telephone | 8458581456 |
| Practice Fax Number | 8458581459 |
| Mailing Telephone | 8452912600 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
146 PIKE ST |
| City | PORT JERVIS |
| State | NY |
| Zip Code | 12771-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720076599 | Frances M Griffin | Social Worker | 146 Pike St, Port Jervis, NY 12771-1808 | 2005-10-06 |
| 1598394918 | Christine Anush Derian | Counselor | 146 Pike St, Port Jervis, NY 12771-1808 | 2020-04-07 |
| 1356973606 | Jessica Vitolano | Student in an Organized Health Care Education/Training Program | 146 Pike St, Port Jervis, NY 12771-1808 | 2020-02-05 |
| 1689215352 | Janan Virginia Furlong | Social Worker | 146 Pike St, Port Jervis, NY 12771-1808 | 2019-10-03 |
| 1417519620 | Lillian Dugan | Social Worker | 146 Pike St, Port Jervis, NY 12771-1808 | 2019-07-08 |
| 1457913154 | Terry Lynn Clark | Counselor | 146 Pike St, Port Jervis, NY 12771-1808 | 2019-07-02 |
| 1194202598 | Barbara Marie Marszalek | Nurse Practitioner | 146 Pike St, Port Jervis, NY 12771-1808 | 2018-07-27 |
| 1366939662 | Genevieve Curio | Clinic/Center | 146 Pike St, Port Jervis, NY 12771-1808 | 2018-04-23 |
| 1730633579 | Nicole Karen Cerussi | Nurse Practitioner | 146 Pike St, Port Jervis, NY 12771-1808 | 2016-08-10 |
| 1710338827 | Toni Hall | Counselor | 146 Pike St, Port Jervis, NY 12771-1808 | 2016-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045571 | Mary Ann Ricci | Counselor | 155 West Main, Port Jervis, NY 12771 | 2020-05-20 |
| 1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
| 1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1891211868 | Jamie Muller | Home Health Aide | 12 Mt William St, Port Jervis, NY 12771 | 2017-08-21 |
| 1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
| 1659702363 | Agnes Timberger | Social Worker | 626 Eatontown Road, Port Jervis, NY 12771 | 2013-12-05 |
| 1962795708 | Olga I Murray | Registered Nurse | 125 E. Main St., Port Jervis, NY 12771 | 2011-05-26 |
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| Find all providers in zip 12771 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356973606 | Jessica Vitolano | Student in an Organized Health Care Education/Training Program | 146 Pike St, Port Jervis, NY 12771-1808 | 2020-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124986 | Khyati Zala | Student in an Organized Health Care Education/Training Program | 143 South Dr, New Hyde Park, NY 11040-2232 | 2020-11-06 |
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1063013936 | Kenneth Yang | Student in an Organized Health Care Education/Training Program | 30 Rover Ln, Hicksville, NY 11801-6253 | 2020-11-05 |
| 1770184061 | Talia Regina Stagnitta | Student in an Organized Health Care Education/Training Program | 134 Shaber Rd, Patchogue, NY 11772-2429 | 2020-11-04 |
| 1316548605 | Caitlin Hitsous Fitzpatrick | Student in an Organized Health Care Education/Training Program | 18 Hampton Ct, Port Washington, NY 11050-3021 | 2020-11-04 |
| 1538760814 | Adam Paul Tamburello | Student in an Organized Health Care Education/Training Program | 4 Foothill Ln, East Northport, NY 11731-4107 | 2020-11-04 |
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1255932539 | Jordan Taylor Rucks | Student in an Organized Health Care Education/Training Program | 17 Hollingsworth Pl, Centereach, NY 11720-2111 | 2020-11-04 |
| 1639770266 | Fahad Gul Khan | Student in an Organized Health Care Education/Training Program | 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 | 2020-11-02 |
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| City | PORT JERVIS |
| Zip Code | 12771 |
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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.