KELLI S WETZEL (NPI# 1639552243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639552243 |
| Entity Type | Individual |
| Full Name | KELLI S WETZEL |
| Credential | COTA/L |
| Practice Address |
21 Pine St East Moriches NY 11940-1121 |
| Practice Telephone | 6318744048 |
| Mailing Telephone | 6318744048 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 008624-1 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023366788 | Kelli Lauren Wetzel | Speech-Language Pathologist | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2012-08-28 |
| Street Address |
21 PINE ST |
| City | EAST MORICHES |
| State | NY |
| Zip Code | 11940-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903450 | Ambulance Committee of The Moriches, Inc | Ambulance | 275 Montauk Highway, East Moriches, NY 11940 | 2019-10-11 |
| 1760938328 | Erica Bove | Pharmacist | 94a Montauk Highway, East Moriches, NY 11940 | 2016-09-01 |
| 1700293305 | Sean D Brown | Registered Nurse | 11 Wilson Ave, East Moriches, NY 11940 | 2014-07-15 |
| 1255629564 | Mary Ellen Catherine Vadax | Licensed Practical Nurse | 61 Pine Edge Dr, East Moriches, NY 11940 | 2011-07-20 |
| 1447581178 | Vera-ellen Frances White | Family Medicine | 82 Inletview Path, East Moriches, NY 11940 | 2010-01-20 |
| 1144559881 | South Shore Psychological Care P.C. | Psychologist | 250 Montauk Highway, East Moriches, NY 11940 | 2009-12-09 |
| 1598909079 | Wendy Ann Geehreng | Nurse Practitioner | 492 Montauk Highway, East Moriches, NY 11940 | 2009-04-28 |
| 1013161835 | Patricia Beaujuin | Licensed Practical Nurse | 59 Linconl Blvd, Eastmoriches, NY 11940 | 2008-11-06 |
| 1174796635 | Independent Group Home Living | Intermediate Care Facility, Mentally Retarded | 65 Pine St, East Moriches, NY 11940 | 2008-04-07 |
| 1356514814 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 120 Frowein Rd, East Moriches, NY 11940 | 2008-04-07 |
| Find all providers in zip 11940 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538315031 | Christine Ruth Dodd | Contractor | 10 Newport Beach Blvd, East Moriches, NY 11940-1566 | 2008-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022455 | Michael Charles Findlay | Contractor | 9509 32nd Ave Fl 1, East Elmhurst, NY 11369-1849 | 2020-10-27 |
| 1659971869 | Stephanie Rosario | Contractor | 1184 Evergreen Ave Apt 6d, Bronx, NY 10472-3235 | 2020-10-27 |
| 1306443791 | Julie Ann Hall | Contractor | 2326 Valley View Dr, Allegany, NY 14706-9669 | 2020-10-08 |
| 1104431618 | Elizabeth Anne Oakes-lani | Contractor | 5 Motts Ln, Glenwood Landing, NY 11547-3015 | 2020-09-11 |
| 1295357598 | Scale Rcm | Contractor | 251 Mountainview Ave Ste 7, Nyack, NY 10960-1700 | 2020-05-11 |
| 1972124758 | Christopher Boston | Contractor | 24917 148th Rd, Rosedale, NY 11422-2711 | 2020-05-03 |
| 1700407004 | Ethel M Webb | Contractor | 495 Attridge Road, 2, Churchville, NY 14428-1462 | 2020-04-28 |
| 1063046845 | Valerie Kaufman | Contractor | 3611 Henry Hudson Pkwy Apt 5b, Bronx, NY 10463-1554 | 2020-03-02 |
| 1033742671 | Rochester Flooring Kitchen & Bath Inc. | Contractor | 360 Jefferson Rd, Rochester, NY 14623-2644 | 2020-02-21 |
| 1881239317 | Whitney L Coventry | Contractor | 26 Greenwood Dr, Orchard Park, NY 14127-3913 | 2019-11-07 |
| Find all providers with the same taxonomy | ||||
| City | EAST MORICHES |
| Zip Code | 11940 |
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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.