MRS. JUDY A FORTINI (NPI# 1639432115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639432115 |
| Entity Type | Individual |
| Full Name | MRS. JUDY A FORTINI |
| Credential | RN |
| Practice Address |
1340 State Route 9 Lake George NY 12845-3434 |
| Practice Telephone | 5187616580 |
| Practice Fax Number | 5187616354 |
| Mailing Telephone | 5187616580 |
| Mailing Fax Number | 5187616354 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1340 STATE ROUTE 9 |
| City | LAKE GEORGE |
| State | NY |
| Zip Code | 12845-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245330547 | Catherine A Meehan | Physical Therapist | 1340 State Route 9, Lake George, NY 12845-3434 | 2006-09-25 |
| 1912551284 | Julie Elizabeth Madison | Case Manager/Care Coordinator | 1340 State Route 9, Municipal Center, Lake George, NY 12845 | 2019-07-25 |
| 1508395435 | Lorraine Lee Shkursky | Specialist | 1340 State Route 9, Lake George, NY 12845-3434 | 2017-06-05 |
| 1346612298 | Warren County | Home Delivered Meals | 1340 State Route 9, Lake George, NY 12845-3434 | 2015-10-30 |
| 1164859807 | Emily Holifield Lalone | Case Manager/Care Coordinator | 1340 State Route 9, Lake George, NY 12845-3434 | 2013-09-26 |
| 1023445715 | Cheryl Lynne Bellizzi-sharron | Case Manager/Care Coordinator | 1340 State Route 9, Lake George, NY 12845-3434 | 2013-09-26 |
| 1427311109 | Jacqueline Ann Merritt | Case Manager/Care Coordinator | 1340 State Route 9, Municipal Center, Lake George, NY 12845-3434 | 2012-06-19 |
| 1023370517 | Warren County Health Services | Early Intervention Provider Agency | 1340 State Route 9, Municipal Center, Lake George, NY 12845-3434 | 2012-06-12 |
| 1417219205 | Erik Anthony Mastrianni | Case Manager/Care Coordinator | 1340 State Route 9, Municipal Center, Lake George, NY 12845-3434 | 2012-06-08 |
| 1457571135 | Warren County | Public Health or Welfare | 1340 State Route 9, Municipal Center, Lake George, NY 12845-9803 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336449925 | Lindsay Farrar | Counselor | 1849 Route 9, Tranquility Healing Arts Centre, Lake George, NY 12845 | 2010-10-28 |
| 1710123013 | Todd James Rehm | Chiropractor | 2309 Route 9n, Rehm Chiropractic & Massage Clinic2309, Lake George, NY 12845 | 2008-12-17 |
| 1982636791 | Richard R. Aulicino | Dentist | 1849 Rt. 9, Lake George, NY 12845 | 2006-07-06 |
| 1760536072 | Hadley Luzerne Central School District | Local Education Agency (LEA) | 27 Ben Rosa Park, Lake Luzerne, NY 12845-0200 | 2007-01-23 |
| 1215077136 | Jill Christine Greene | Social Worker | 2206 State Route 9n, Roaring Brook Ranch, Lake George, NY 12845-0671 | 2007-02-08 |
| 1609213479 | Rachel Wolfield | Social Worker | 2 Joques Farm Rd, Lake George, NY 12845-1113 | 2013-06-03 |
| 1679630198 | Lake George Central School District | Local Education Agency (LEA) | 381 Canada St, Lake George, NY 12845-1115 | 2007-01-03 |
| 1124396916 | Pamela Silva | Registered Nurse | 381 Canada St, Lake George, NY 12845-1115 | 2011-12-07 |
| 1063403624 | Mitchell A Cohen | Dentist | 48 Amherst St, Lake George, NY 12845-1219 | 2005-11-02 |
| 1346602661 | J. Brett Ryan Dmd, PC | Dentist | 93 Montcalm St, Lake George, NY 12845-1317 | 2016-03-25 |
| Find all providers in zip 12845 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912551284 | Julie Elizabeth Madison | Case Manager/Care Coordinator | 1340 State Route 9, Municipal Center, Lake George, NY 12845 | 2019-07-25 |
| 1164859807 | Emily Holifield Lalone | Case Manager/Care Coordinator | 1340 State Route 9, Lake George, NY 12845-3434 | 2013-09-26 |
| 1023445715 | Cheryl Lynne Bellizzi-sharron | Case Manager/Care Coordinator | 1340 State Route 9, Lake George, NY 12845-3434 | 2013-09-26 |
| 1427311109 | Jacqueline Ann Merritt | Case Manager/Care Coordinator | 1340 State Route 9, Municipal Center, Lake George, NY 12845-3434 | 2012-06-19 |
| 1417219205 | Erik Anthony Mastrianni | Case Manager/Care Coordinator | 1340 State Route 9, Municipal Center, Lake George, NY 12845-3434 | 2012-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255220 | Nelcy M Garcia De Leon | Case Manager/Care Coordinator | 11 Thamsen Dr, Stony Point, NY 10980-1054 | 2020-11-06 |
| 1003416769 | Mashhura Rofieva | Case Manager/Care Coordinator | 1733 Sheepshead Bay Rd Ste 16, Brooklyn, NY 11235-3743 | 2020-10-30 |
| 1285234369 | David Olmedo | Case Manager/Care Coordinator | 3192 Rawlins Ave, Bronx, NY 10465-1340 | 2020-10-28 |
| 1144829326 | Perel Langsam | Case Manager/Care Coordinator | 14 Jeffrey Pl, Monsey, NY 10952-5702 | 2020-10-20 |
| 1609474295 | Akyra M. Green | Case Manager/Care Coordinator | 11 Dobson Ave, Merrick, NY 11566-4127 | 2020-10-15 |
| 1578161162 | Elizabeth Anna Rubin | Case Manager/Care Coordinator | 3513 Broadway Apt 2l, Astoria, NY 11106-1162 | 2020-10-15 |
| 1033717855 | Sarah Bruck | Case Manager/Care Coordinator | 14 Melnick Dr, Monsey, NY 10952-3328 | 2020-10-14 |
| 1831797091 | Yuliya Levakova | Case Manager/Care Coordinator | 146 Macfarland Ave, Staten Island, NY 10305-4448 | 2020-10-10 |
| 1861009383 | Faith Gibbs | Case Manager/Care Coordinator | 13038 224th St, Laurelton, NY 11413-1244 | 2020-09-29 |
| 1316554074 | Sherry Ann Brion | Case Manager/Care Coordinator | 126 W Chemung St Ste 103, Painted Post, NY 14870-1300 | 2020-09-28 |
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| City | LAKE GEORGE |
| Zip Code | 12845 |
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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.