CRAIG ADRIAN HEADLEY (NPI# 1508263013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508263013 |
| Entity Type | Individual |
| Full Name | CRAIG ADRIAN HEADLEY |
| Credential | NP |
| Practice Address |
5 Cornwall Ln Apt 2x Carle Place NY 11514-1083 |
| Practice Telephone | 5162941728 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401722 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 CORNWALL LN APT 2X |
| City | CARLE PLACE |
| State | NY |
| Zip Code | 11514-1083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972974053 | Joi Patel | Occupational Therapist | 306 Raff Avenue, Carle Place, NY 11514 | 2015-10-14 |
| 1114312907 | Jessica Elizabeth Omara | Pediatrics | 181 Old Country Rd, Carle Place, NY 11514 | 2015-03-30 |
| 1578873436 | Jean-gabriel Desravines | Registered Nurse | 4 Cornwall Lane, Carle Place, NY 11514 | 2010-10-13 |
| 1033441530 | Francesco G Scoleri | Pharmacist | 93 Old Country Road, Carle Place, NY 11514 | 2010-02-08 |
| 1538309265 | Salvatore Martella | Prosthetist | 516 Mineola Ave, Progressive Orthotics & Prosthetics, Carle Place, NY 11514 | 2009-02-20 |
| 1699915306 | Erika Beth Mark | Student in an Organized Health Care Education/Training Program | 181 Old Country Road, Carle Place, NY 11514 | 2009-02-20 |
| 1013121649 | Victor J Fumuso | Podiatrist | 474 Westbury Ave, Carle Place, NY 11514 | 2007-05-10 |
| 1275684144 | Rosaire Laine | Nurse Practitioner | 2376 Pempstad Tpke, East Meadow, NY 11514 | 2007-01-16 |
| 1083708788 | Vicki Kulberg | Social Worker | 1 Old Country Road, Suite 295, Carle Place, NY 11514 | 2006-10-03 |
| 1720044274 | Carmen J Finamore | Family Medicine | 536 Mineola Avenue, Carle Place, NY 11514 | 2006-04-25 |
| Find all providers in zip 11514 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | CARLE PLACE |
| Zip Code | 11514 |
Please comment or provide details below to improve the information on CRAIG ADRIAN HEADLEY.
| 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.