KELLYANN MARIE O'CONNOR (NPI# 1588288419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588288419 |
Entity Type | Individual |
Full Name | KELLYANN MARIE O'CONNOR |
Practice Address |
101 Stage Rd Monroe NY 10950-3512 |
Practice Telephone | 8458276227 |
Mailing Telephone | 8458276227 |
Mailing Fax Number | 8458276228 |
Enumeration Date | 2020-06-06 |
Last Update Date | 2020-06-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
2337 State Route 207, Campbell Hall, NY 109163401 | 8458254572 |
Street Address |
101 STAGE RD |
City | MONROE |
State | NY |
Zip Code | 10950-3512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699019364 | Ashley Marie Russo | Speech-Language Pathologist | 101 Stage Rd, Monroe, NY 10950-3512 | 2012-11-20 |
1942813480 | Anna-grace Gerber | Speech-Language Pathologist | 101 Stage Rd, Monroe, NY 10950-3512 | 2020-08-25 |
1639796121 | Jessica Decker | Occupational Therapist | 101 Stage Rd, Monroe, NY 10950-3512 | 2020-06-30 |
1114543212 | Keila Taveras | Student in an Organized Health Care Education/Training Program | 101 Stage Rd, Monroe, NY 10950-3512 | 2020-06-24 |
1356967640 | Gianna Theresa Dellerose | Speech-Language Pathologist | 101 Stage Rd, Monroe, NY 10950-3512 | 2020-06-22 |
1366074619 | Tara Dirocco | Specialist | 101 Stage Rd, Monroe, NY 10950-3512 | 2020-02-05 |
1396376117 | Awilda Schofield | Psychologist | 101 Stage Rd, Monroe, NY 10950-3512 | 2020-01-30 |
1922642420 | Kathleen Mary Walsh | Specialist | 101 Stage Rd, Monroe, NY 10950-3512 | 2019-10-29 |
1356983969 | Jennifer Pesta | Case Manager/Care Coordinator | 101 Stage Rd, Monroe, NY 10950-3512 | 2019-10-15 |
1083255822 | Erika Moson | Occupational Therapy Assistant | 101 Stage Rd, Monroe, NY 10950-3512 | 2019-10-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588202063 | Tova Schur | Physician Assistant | 2 Strelisk Court, Monroe, NY 10950 | 2019-12-16 |
1265947238 | Brenda Ayllene Sabatello | Specialist | 126 Barr Lne, Monroe, NY 10950 | 2017-12-12 |
1740719038 | Heartstrings LLC | Home Health | 6 Mountain Road, Unit 204, Monroe, NY 10950 | 2017-06-08 |
1841739752 | Committed Home Care Inc. | Home Health | 14 Fillmore Court Unit 311, Monroe, NY 10950 | 2017-02-13 |
1104362813 | Alison Guiney | Case Manager/Care Coordinator | 101 Stage Road, Monroe, NY 10950 | 2017-01-19 |
1710436332 | Elite Services Ny Inc. | Home Health | 48 Bakertown Road Suite 204, Monroe, NY 10950 | 2016-09-23 |
1780047084 | Stephanie Santiago | Occupational Therapy Assistant | 27 Sandra Ln, Monroe, NY 10950 | 2016-04-04 |
1851770440 | Priority Home Care Services, Inc. | Home Health | 48 Bakertown Road, Suite 204, Monroe, NY 10950 | 2015-05-28 |
1518344274 | Mydesh Inc | Pharmacy | 581 Nys Route 17m, Monroe, NY 10950 | 2015-05-01 |
1942694377 | Yenty Fischel | Occupational Therapist | 1 Diner Rd, Monroe, NY 10950 | 2015-03-24 |
Find all providers in zip 10950 |
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 |
---|---|---|---|---|
1376144048 | Travis Thomas Phillips | Student in an Organized Health Care Education/Training Program | 2912 Hargette Rd, Monroe, NC 28112-8142 | 2020-11-08 |
1588293179 | John Braxton Phifer | Student in an Organized Health Care Education/Training Program | 7005 Fairview Ct, Monroe, NC 28110-8922 | 2020-04-06 |
1215588009 | Micaela Earle Kwochka | Student in an Organized Health Care Education/Training Program | 17 Sunrise Ter, Monroe, CT 06468-2925 | 2019-09-24 |
1346705407 | Jaclyn Ketterer | Student in an Organized Health Care Education/Training Program | 394 Old Dutch Hollow Rd, Monroe, NY 10950-4575 | 2019-02-04 |
1659860922 | Sonia Victoria Altavilla | Student in an Organized Health Care Education/Training Program | 246 Barn Hill Rd, Monroe, CT 06468-2015 | 2018-05-02 |
1477086254 | Mina Siddiqui | Student in an Organized Health Care Education/Training Program | 15 Del Mar Way, Monroe, NJ 08831-5823 | 2017-04-07 |
1346780384 | Amanda Vojta | Student in an Organized Health Care Education/Training Program | 9 Roanoke Dr, Monroe, NY 10950-2207 | 2017-02-23 |
1518326628 | Stephen Amburgey | Student in an Organized Health Care Education/Training Program | 221 Bethel Ln, Monroe, VA 24574-3114 | 2016-02-17 |
1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
1336418466 | Ashley Breanne Karow | Student in an Organized Health Care Education/Training Program | 3220 Parkwood School Rd, Monroe, NC 28112-0001 | 2011-12-19 |
Find all providers in MONROE |
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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.