ELIZABETH GLEASMAN (NPI# 1487678447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487678447 |
| Entity Type | Individual |
| Full Name | ELIZABETH GLEASMAN |
| Credential | NP |
| Practice Address |
13407 State Route 12 Boonville NY 13309 |
| Practice Telephone | 3159423500 |
| Practice Fax Number | 3159423618 |
| Mailing Telephone | 3159423500 |
| Mailing Fax Number | 3159423618 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 332460 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13407 STATE ROUTE 12 |
| City | BOONVILLE |
| State | NY |
| Zip Code | 13309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336100767 | Rome Memorial Hospital, Inc | Clinic/Center | 13407 State Route 12, Boonville, NY 13309-4954 | 2006-03-28 |
| 1336677822 | Corrine Elizabeth Reed | Registered Nurse | 13407 State Route 12, Boonville, NY 13309-4954 | 2017-05-26 |
| 1699155895 | Amanda Lampman | Nurse Practitioner | 13407 State Route 12, Boonville, NY 13309-4954 | 2015-06-02 |
| 1124265749 | Sushma Sapkota Pandey | Internal Medicine | 13407 State Route 12, Boonville Family Care, Boonville, NY 13309 | 2009-01-20 |
| 1144368127 | Ann F Mellen | Nurse Practitioner | 13407 State Route 12, Boonville, NY 13309 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447582606 | Jessica M Maurer | Pharmacist | 261 Utica Blvd, Boonville, NY 13309 | 2010-02-12 |
| 1104058791 | Tracy Bova | Registered Nurse | 13407 New York 12, Boonville, NY 13309 | 2009-08-14 |
| 1336347822 | Kph Healthcare Services, Inc. | Pharmacy | 261 Utica Boulevard, Boonville, NY 13309 | 2007-07-05 |
| 1487784278 | Bruce Michael Renders | Dentist | 109 Ann Street, Boonville, NY 13309 | 2007-03-07 |
| 1992870570 | Richard L Sears Thomas N Caruso Dds PC | Dentist | 3 Schuyler St, Boonville, NY 13309 | 2006-11-21 |
| 1003090242 | Michele Van Dreason | Pharmacist | 261 Utica Boulevard, Boonville, NY 13309 | 2007-12-24 |
| 1164465381 | Toby Kevin Davis | Clinical Neuropsychologist | 137 Main St., Boonville, NY 13309-0696 | 2006-06-14 |
| 1487646279 | Mountain Mental Health Group | Social Worker | 120 Schuyler St, Boonville, NY 13309-1005 | 2005-08-17 |
| 1144431511 | Susan Elizabeth Gydesen | Social Worker | 120 Schuyler St, Boonville, NY 13309-1005 | 2007-05-25 |
| 1154489813 | Timothy Francis Dowling | Social Worker | 120 Schuyler St, Boonville, NY 13309-1005 | 2006-12-05 |
| Find all providers in zip 13309 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053547000 | Linda S Tucker | Nurse Practitioner | 3150 Warrick Dr, Boonville, IN 47601-8602 | 2009-06-04 |
| 1144702945 | Amanda D Strathmann | Nurse Practitioner | 3150 Warrick Dr, Boonville, IN 47601-8602 | 2018-08-29 |
| 1194267328 | Donna Marvel | Nurse Practitioner | 3277 Liberty Blvd, Ste A, Boonville, IN 47601-9659 | 2016-11-04 |
| 1104126978 | Sue A Krieg | Nurse Practitioner | 3277 Liberty Blvd Ste A, Boonville, IN 47601-9659 | 2010-10-27 |
| 1134162175 | Jennifer A Sims | Nurse Practitioner | 3277 Liberty Blvd Ste A, Boonville, IN 47601-9659 | 2006-06-14 |
| 1477590057 | Ann E Mcdowell | Nurse Practitioner | 17601 B Hwy, Boonville, MO 65233-2839 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235432 | Koli Eckert | Nurse Practitioner | 2455 77th St Fl 2, East Elmhurst, NY 11370-1525 | 2020-11-04 |
| 1134728942 | Angelyn Arielle Brown | Nurse Practitioner | 3332 Walden Ave Ste 1100, Depew, NY 14043-2400 | 2020-10-22 |
| 1871191056 | Natalie Larissa Cohen | Nurse Practitioner | 555 Laguardia Pl, New York, NY 10012-1402 | 2020-10-11 |
| 1841807799 | Raquel Shivanna Sookram | Nurse Practitioner | 5505 Myrtle Ave, Ridgewood, NY 11385-3550 | 2020-09-24 |
| 1154938264 | Haessal Kim | Nurse Practitioner | 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 | 2020-09-23 |
| 1235745282 | April Lynne Mott | Nurse Practitioner | 600 Ivy St Ste 108, Elmira, NY 14905-1627 | 2020-09-16 |
| 1407461676 | Kim Marie Neenan-reilly | Nurse Practitioner | 7200 Douglaston Pkwy, Main Floor, Douglaston, NY 11362-1941 | 2020-09-14 |
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1992316996 | Cassandra Dionne Saint-furcy | Nurse Practitioner | 6 Provenzano St, Inwood, NY 11096-1410 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
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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.