LYNN MARY ROTZ (NPI# 1508328394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508328394 |
| Entity Type | Individual |
| Full Name | LYNN MARY ROTZ |
| Credential | CRPA-P |
| Practice Address |
31 Thurber Dr Waterloo NY 13165-1665 |
| Practice Telephone | 3155391966 |
| Practice Fax Number | 3155391054 |
| Mailing Telephone | 3155391966 |
| Mailing Fax Number | 3155391054 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
31 THURBER DR |
| City | WATERLOO |
| State | NY |
| Zip Code | 13165-1665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295799070 | Seneca County Addictions Program | Clinic/Center | 31 Thurber Dr, Waterloo, NY 13165-1600 | 2006-04-17 |
| 1184242539 | Meghan Mccormack | Social Worker | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2020-07-13 |
| 1023641008 | Eugene Storey Jr. | Peer Specialist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2020-02-18 |
| 1477193522 | Kimberly Ann Zajac | Counselor | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2020-01-07 |
| 1306482054 | Megan Manaco | Social Worker | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-11-18 |
| 1164071882 | Amanda Marie Johnston-porter | Peer Specialist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-09-05 |
| 1174182182 | Roberta Yvonne Lindner-ciopyk | Occupational Therapist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-06-12 |
| 1053970525 | Cynthia Eileen Meckley | Registered Nurse | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-06-10 |
| 1083178214 | Robert Shields | Peer Specialist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-01-22 |
| 1548732498 | Rebecca Ann Reed | Social Worker | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284848 | Mary Reese | Registered Nurse | 31 Thurber Drive, Waterloo, NY 13165 | 2017-06-08 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 1770803918 | Shelley Reeland | Massage Therapist | 1388 Rt 96 N, Waterloo, NY 13165 | 2010-06-10 |
| 1275856031 | Yecham Kumaraswamy | Pharmacist | 1963 Route 5&20 Street, Waterloo, NY 13165 | 2010-03-09 |
| 1801128632 | David Edward Janack | Pharmacist | 1860 North Road, Waterloo, NY 13165 | 2010-02-04 |
| 1336476753 | Laura Jane Miccuci | Pharmacist | 1963 Routes 5 & 20, Waterloo, NY 13165 | 2009-11-05 |
| 1528203759 | Joanne Farula Corey | Speech-Language Pathologist | 2932 Rt. 96, Waterloo, NY 13165 | 2008-12-02 |
| Find all providers in zip 13165 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641008 | Eugene Storey Jr. | Peer Specialist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2020-02-18 |
| 1164071882 | Amanda Marie Johnston-porter | Peer Specialist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-09-05 |
| 1083178214 | Robert Shields | Peer Specialist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385896 | Gary N/a Peluso | Peer Specialist | 62 Allan Dr, East Norwich, NY 11732-1203 | 2020-10-28 |
| 1043810138 | Ryan Hope Mcgovern | Peer Specialist | 950 S Oyster Bay Rd Bay Road, Hicksville, NY 11801-3510 | 2020-10-28 |
| 1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
| 1801409842 | Alexander Mannino | Peer Specialist | 419 Palisade Ave, Yonkers, NY 10703-2610 | 2020-08-28 |
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
| 1700404001 | Kathy Annett Gardini | Peer Specialist | 1914 Brookhaven Ave, Far Rockaway, NY 11691-3626 | 2020-07-13 |
| 1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
| 1174140545 | Mercedes Busby | Peer Specialist | 118 Brauncroft Ln, Amherst, NY 14226-4957 | 2020-07-01 |
| 1457977258 | Carla J Alomar | Peer Specialist | 414 Martin Rd, Lackawanna, NY 14218-2830 | 2020-06-18 |
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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.