MICHELLE L DETTMAN (NPI# 1598309700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598309700 |
| Entity Type | Individual |
| Full Name | MICHELLE L DETTMAN |
| Practice Address |
1010 E and West Rd West Seneca NY 14224-3602 |
| Practice Telephone | 7166777000 |
| Practice Fax Number | 7166777072 |
| Mailing Telephone | 7166777000 |
| Mailing Fax Number | 7166777072 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
750549 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 750549 | 05 |
| Street Address |
1010 E AND WEST RD |
| City | WEST SENECA |
| State | NY |
| Zip Code | 14224-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073670519 | Nys Office of Mental Health | Psychiatric Hospital | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2007-01-03 |
| 1962036434 | Diana Giglia | Registered Nurse | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2020-02-24 |
| 1295379493 | Sara Bugenhagen | Registered Nurse | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2019-10-30 |
| 1013551217 | Charlene Dawn Drogi | Registered Nurse | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2019-10-30 |
| 1063914687 | Jilynn Eagen | Psychologist | 1010 E and West Rd, West Seneca, NY 14224-3698 | 2018-02-28 |
| 1962902064 | Andrea Lynn Singer | Occupational Therapist | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2018-02-15 |
| 1235637190 | Candace Mccullough | Counselor | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2018-01-25 |
| 1124535844 | Elia Lieber | Registered Nurse | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2018-01-03 |
| 1265949127 | Janice Marie Planter | Registered Nurse | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2018-01-02 |
| 1578070538 | Elizabeth Jagodzinski | Registered Nurse | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2017-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1437711413 | Sara Jean Bucci | Massage Therapist | 4214 Clinton Street, West Seneca, NY 14224 | 2019-07-01 |
| 1679036115 | Darcy Zappia | Behavior Technician | 950a Union Rd #108, West Seneca, NY 14224 | 2019-04-11 |
| 1750858981 | Joelle Susan Wagner | Student in an Organized Health Care Education/Training Program | 767 Main Street, West Seneca, NY 14224 | 2018-10-25 |
| 1629545900 | Victoria A Luongo | Physician Assistant | 189 Fieldcrest Ct., West Seneca, NY 14224 | 2018-10-25 |
| 1659873776 | Lianna Marie Carroll | Physician Assistant | 1026 Union Road, West Seneca, NY 14224 | 2018-03-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1285156232 | Southtowns P.t., Pllc | Physical Therapist | 100 Union Rd., West Seneca, NY 14224 | 2017-07-12 |
| 1164944260 | Patricia Ann Fenzel | Massage Therapist | 1909 Union Road, West Senca, NY 14224 | 2017-07-10 |
| 1356877666 | Megan A Malachowski | Physical Therapy Assistant | 67 Cove Creek Run, Buffalo, NY 14224 | 2017-05-05 |
| Find all providers in zip 14224 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551217 | Charlene Dawn Drogi | Registered Nurse | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2019-10-30 |
| 1306352562 | Lori Klumpp | Registered Nurse | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2017-12-22 |
| 1891867289 | Marlene Latona | Registered Nurse | 326 Orchard Park Rd, West Seneca, NY 14224-2635 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688864 | Shayna Feuer | Registered Nurse | 275 Fort Washington Ave Apt 2a, New York, NY 10032-1234 | 2020-10-28 |
| 1932716297 | Sonia Somwar | Registered Nurse | 13163 Francis Lewis Blvd, Laurelton, NY 11413-1844 | 2020-09-29 |
| 1225643885 | Colette Kogut | Registered Nurse | 5130 East Main St Rd, Suite 2, Batavia, NY 14020 | 2020-09-10 |
| 1912519059 | Anu Vazhappilly | Registered Nurse | 356 Central Park Ave Apt E3, Scarsdale, NY 10583-1363 | 2020-08-19 |
| 1336759430 | Christopher Colin Fish | Registered Nurse | 10 County Center Rd, White Plains, NY 10607-1537 | 2020-08-04 |
| 1265041172 | Samantha M Joanette | Registered Nurse | 71 Margaret Terrance Memorial Way, Akwesasne, NY 13655-3236 | 2020-07-27 |
| 1760009062 | Jake Hernandez | Registered Nurse | 12333 83rd Ave Apt 2601, Kew Gardens, NY 11415-3439 | 2020-07-02 |
| 1477178192 | Edith I Cline | Registered Nurse | 1204 E 223rd St, Bronx, NY 10466-5802 | 2020-06-09 |
| 1851913453 | Ekaterina Prokofieva | Registered Nurse | 3235 Emmons Ave Apt 625, Brooklyn, NY 11235-1157 | 2020-05-18 |
| 1295357986 | Sarah Elizabeth Elkin | Registered Nurse | 265 Cabrini Blvd Apt 3e, New York, NY 10040-3610 | 2020-05-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST SENECA |
| Zip Code | 14224 |
Please comment or provide details below to improve the information on MICHELLE L DETTMAN.
| 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.