MS. CHRISTINE ANN FANELLI (NPI# 1689632622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689632622 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINE ANN FANELLI |
| Credential | NP |
| Practice Address |
15 Park Ave Bay Shore NY 11706-7381 |
| Practice Telephone | 6315814400 |
| Practice Fax Number | 6315812564 |
| Mailing Telephone | 6315814400 |
| Mailing Fax Number | 6315812564 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2014-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F333278 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02167655 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654304 | Christine Marie Fanelli | Nurse Practitioner | 28 Coyote Trl, Ennis, MT 59729-9187 | 2018-09-28 |
| 1790057545 | Christine Anne Fanelli | Social Worker | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 | 2012-02-08 |
| Street Address |
15 PARK AVE |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-7381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275820961 | Good Samaritan Hospital Medical Center | Clinic/Center | 15 Park Ave, Bay Shore, NY 11706-7381 | 2011-07-01 |
| 1285868471 | Tina Joseph | Surgery | 15 Park Ave, Bay Shore, NY 11706 | 2009-05-04 |
| 1740467737 | Frederick B Achildiev | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2008-01-22 |
| 1891701975 | John R Tomasula | Transplant Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-07-31 |
| 1104859925 | Bradley David Cohen | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-07-07 |
| 1619900438 | Charles A La Rosa | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-07-07 |
| 1134158793 | Terry Palatt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-07-03 |
| 1457380024 | Manal Hegazy | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-07-03 |
| 1871539205 | Scott Christopher Wodicka | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-06-22 |
| 1821037698 | Alexander Melman | Surgery | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089862 | Michelle Witkowski | Nurse Practitioner | 39 Brentwood Rd Ste 201, Bay Shore, NY 11706-8031 | 2018-07-02 |
| 1407366818 | Argentine Belfort | Nurse Practitioner | 1736 N Thompson Dr, Bay Shore, NY 11706-1327 | 2017-10-11 |
| 1164404604 | Janet D Laviolette | Nurse Practitioner | 158 East Main Street, Ocean Family Medicine, Bay Shore, NY 11706 | 2005-11-18 |
| 1689210163 | Elena Kriman | Nurse Practitioner | 301 E Main St, Bay Shore, NY 11706-8408 | 2019-11-20 |
| 1770140618 | Viviana Rosa Dadd | Nurse Practitioner | 8 Saxon Ave Ste E, Bay Shore, NY 11706-7036 | 2019-05-28 |
| 1992261531 | Laura Ciaravino | Nurse Practitioner | 650 E Main St, Bay Shore, NY 11706-8503 | 2019-02-19 |
| 1891269288 | Danielle Knuppel | Nurse Practitioner | 301 East Main Street, Emergency Department, Bay Shore, NY 11706 | 2019-01-18 |
| 1023583762 | Deborah Beauplan | Nurse Practitioner | 301 E Main St, Bay Shore, NY 11706-8458 | 2018-10-09 |
| 1184108433 | Yasmine Romeus | Nurse Practitioner | 158 E Main St, Bay Shore, NY 11706-8302 | 2018-09-22 |
| 1801392683 | Jaclyn M Nelson | Nurse Practitioner | 250 E Main St, Bay Shore, NY 11706-8442 | 2018-04-02 |
| Find all providers in BAY SHORE | ||||
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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.