MS. JESSICA SUZANNE KOHOUTEK (NPI# 1700092913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700092913 |
| Entity Type | Individual |
| Full Name | MS. JESSICA SUZANNE KOHOUTEK |
| Credential | CPNP, RN |
| Practice Address |
1143 47th Ave Long Island City NY 11101-5418 |
| Mailing Address |
205 E 73rd St Apt 12a New York NY 10021-3669 |
| Practice Telephone | 7185513515 |
| Practice Fax Number | 7185513580 |
| Mailing Telephone | 2124399722 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F381673 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1143 47TH AVE |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11101-5418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013331149 | Jacqueline Nichols-jeune | Community/Behavioral Health | 1143 47th Ave, Long Island City, NY 11101-5465 | 2014-02-10 |
| 1548684921 | Minerva Morales | Social Worker | 1143 47th Ave, Long Island City, NY 11101-5465 | 2014-02-06 |
| 1760806103 | Holly Petersen | Marriage & Family Therapist | 1143 47th Ave, Long Island City, NY 11101-5465 | 2014-02-05 |
| 1134543655 | Cherylee Pottinger | Social Worker | 1143 47th Ave, Long Island City, NY 11101-5465 | 2014-02-05 |
| 1124442546 | Angelica Rubio | Community/Behavioral Health | 1143 47th Ave, Long Island City, NY 11101-5465 | 2014-02-05 |
| 1184905192 | Meghan Colleen Mackowiak | Nurse Practitioner | 1143 47th Ave, Long Island City, NY 11101-5465 | 2011-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453469 | Marguerite Reilly | Speech-Language Pathologist | P721q John F. Kennedy School @ Information Technology H, 21-16 44th Road, Long Island City, NY 11101 | 2020-09-23 |
| 1831716323 | South Occupational Therapy Services, P.C. | Occupational Therapist | 1-50 50th Avenue, Apt 3806, Long Island City, NY 11101 | 2020-06-30 |
| 1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
| 1114565991 | Maria Montes | Counselor | 3110 37th Ave, Ste 401, Long Island City, NY 11101 | 2019-12-12 |
| 1235770777 | City Medical of Upper East Side, Pllc | Clinic/Center | 25-18 Queens Plaza South, Long Island City, NY 11101 | 2019-10-07 |
| 1073162343 | Kofi Robertson Md Pllc | Anesthesiology | 28-10 Jackson Avenue, Long Island City, NY 11101 | 2019-09-09 |
| 1689221368 | Crossland Transportation Management Corp | Non-emergency Medical Transport (VAN) | 34-18 Northern Blvd, Floor 4 Unit 32, Long Island City, NY 11101 | 2019-08-19 |
| 1295396190 | Natasha Fortune | Counselor | 3418 Northern Blvd Fl 4, Long Island City, NY 11101 | 2019-06-23 |
| 1588224901 | Lemon Health At Home, LLC | Home Health | 4628 Vernon Blvd., Suite 531, Long Island City, NY 11101 | 2019-06-18 |
| 1790342541 | Hospital Wood Medical Center | General Acute Care Hospital | Coxen Hole, Main Street, Roatan, BAY ISLANDS 11101 | 2019-05-28 |
| Find all providers in zip 11101 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348730 | Afreen Rassiwala | Nurse Practitioner | 4545 Center Blvd Apt 3313, Long Island City, NY 11109-5970 | 2020-05-18 |
| 1114490356 | Maan Darisse Roxas Dayan | Nurse Practitioner | 3045 37th St, Long Island City, NY 11103-3808 | 2019-01-10 |
| 1750877403 | Molly Clarke | Nurse Practitioner | 3300 Northern Blvd Fl 5, Long Island City, NY 11101-2215 | 2018-07-05 |
| 1750766291 | Lesleyann Velilla | Nurse Practitioner | 3300 Northern Blvd, New York Foundling Hospital, Long Island City, NY 11101-2221 | 2015-07-27 |
| 1184905192 | Meghan Colleen Mackowiak | Nurse Practitioner | 1143 47th Ave, Long Island City, NY 11101-5465 | 2011-09-02 |
| 1033353685 | Erica K Hahn | Nurse Practitioner | 3611 21st St, Long Island City, NY 11106-4705 | 2009-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | LONG ISLAND CITY |
| Zip Code | 11101 |
Please comment or provide details below to improve the information on MS. JESSICA SUZANNE KOHOUTEK.
| 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.