MARYETHEL NUTT (NPI# 1699155721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699155721 |
| Entity Type | Individual |
| Full Name | MARYETHEL NUTT |
| Credential | M.S ED |
| Practice Address |
53 Quarry Rd Montgomery NY 12549-2524 |
| Practice Telephone | 8457281623 |
| Mailing Telephone | 8457281623 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 30532 | NY | Other Service Providers |
| Street Address |
53 QUARRY RD |
| City | MONTGOMERY |
| State | NY |
| Zip Code | 12549-2524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265859862 | Pierre Janvier | Licensed Practical Nurse | 11 Pathway, Montgomery, NY 12549 | 2014-03-21 |
| 1932470796 | Patricia Luongo | Registered Nurse | 946 Route 17k, Berea Elementary School, Montgomery, NY 12549 | 2012-01-25 |
| 1124398730 | Gail E Nozell | Speech-Language Pathologist | 141 Union Street, Valley Central School District, Montgomery, NY 12549 | 2012-01-12 |
| 1437450731 | Phyllis Arlene Montanari | Music Therapist | 228 State Route 416, Montgomery, NY 12549 | 2010-11-03 |
| 1831416486 | Diane Leung-diliberto | Pharmacist | 105-a Ward Street, Montgomery, NY 12549 | 2010-04-22 |
| 1477792760 | Kelly Cole | Occupational Therapist | 31 Fernich Ct, Montgomery, NY 12549 | 2009-02-11 |
| 1710123898 | Simone Althea Ercoline | Speech-Language Pathologist | Valley Central School District, 944 State Route 17k, Montgomery, NY 12549 | 2008-12-19 |
| 1780836130 | Janice Mcgrath | Speech-Language Pathologist | 215 Freida Street, Montgomery, NY 12549 | 2008-10-16 |
| 1720239643 | Gregory Bicknell | Nurse Practitioner | 940 Route 17k, Montgomery, NY 12549 | 2008-10-09 |
| 1023271764 | Kole Stewart Miller | Dentist | 2 Didio Ln, Montgomery, NY 12549 | 2008-07-02 |
| Find all providers in zip 12549 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922561745 | Kenneth Wayne Roach | Specialist | 15650 Walden Rd Apt 4302, Montgomery, TX 77356-1780 | 2019-04-09 |
| 1013428580 | Larry Dell Turner | Specialist | 600 S Court St Ste 312, Montgomery, AL 36104-4106 | 2017-10-23 |
| 1881042760 | Hairzone | Specialist | 3009 Mcgehee Rd, B, Montgomery, AL 36111-2202 | 2016-06-01 |
| 1043675051 | Robert Wareham | Specialist | 105 Forest Wind Cir, Montgomery, TX 77316-6846 | 2015-12-17 |
| 1497129159 | Annail Reese Fort | Specialist | 3009b Mcgehee Rd, Montgomery, AL 36111-2202 | 2015-11-18 |
| 1225421274 | Next Level Healthcare Consultants LLC | Specialist | 47 S Wind Dr, Montgomery, TX 77356-8232 | 2015-03-16 |
| 1710388483 | Yolanda Flynn | Specialist | 3957 Kimberly St, Montgomery, AL 36116-4515 | 2014-09-11 |
| 1366864647 | Rushmore Surgical Assistants | Specialist | 10906 Scenic Dr, Montgomery, TX 77356-5795 | 2014-01-06 |
| 1538503305 | Committed To Assisting Professionals | Specialist | 12002 Brightwood Dr, Montgomery, TX 77356-7920 | 2013-04-24 |
| 1366719098 | Carla Trina Vitek | Specialist | 10 Montgomery Hts, Montgomery, NY 12549-2500 | 2011-11-23 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 12549 |
Please comment or provide details below to improve the information on MARYETHEL NUTT.
| 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.