MRS. SHANNAN MARIE MAXEY-RICOY (NPI# 1700828340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700828340 |
| Entity Type | Individual |
| Full Name | MRS. SHANNAN MARIE MAXEY-RICOY |
| Credential | RPA-C |
| Practice Address |
221 Broadway Suite 207 Amityville NY 11701-2780 |
| Mailing Address |
99 Kentucky St Long Beach NY 11561-1229 |
| Practice Telephone | 6315980009 |
| Practice Fax Number | 6315980099 |
| Mailing Telephone | 5169028389 |
| Mailing Fax Number | 5168976458 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
009533 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
221 BROADWAY SUITE 207 |
| City | AMITYVILLE |
| State | NY |
| Zip Code | 11701-2780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447968 | Katelynn Marie Timony | Physician Assistant | 221 Broadway, Amityville, NY 11701-2780 | 2020-08-14 |
| 1770932303 | Shane Tatar | Physician Assistant | 221 Broadway, 207, Amityville, NY 11701-2780 | 2016-06-04 |
| 1235448077 | Halo Network, Inc | Case Management | 221 Broadway, Suite 206, Amityville, NY 11701-2780 | 2010-09-28 |
| 1548591167 | Mohammad S Hussain Md PC | Internal Medicine | 221 Broadway, Suite 204, Amityville, NY 11701-2780 | 2010-01-21 |
| 1043421381 | Nicola Beckles | Psychologist | 221 Broadway, Suite 201c, Amityville, NY 11701-2780 | 2007-05-25 |
| 1346455078 | Narendra K Trivedi | Psychiatry & Neurology | 221 Broadway, Suite 304, Amityville, NY 11701-2780 | 2007-05-14 |
| 1689889321 | Narendra K. Trivedi, M.d.,p.c. | Psychiatry & Neurology | 221 Broadway, Suite 304, Amityville, NY 11701-2780 | 2007-05-14 |
| 1831304401 | Lucia Valentini | Social Worker | 221 Broadway, Suite 304, Amityville, NY 11701-2780 | 2007-05-14 |
| 1669508255 | Louise Carol Santana | Social Worker | 221 Broadway, Suite 303, Amityville, NY 11701-2747 | 2007-02-26 |
| 1528112737 | Sukon Kim | Psychiatry & Neurology | 221 Broadway, Suite 303, Amityville, NY 11701-2780 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427400 | Katya Cabrera | Licensed Practical Nurse | 8 Coolidge Ave, North Amityville, NY 11701 | 2017-10-11 |
| 1750800405 | Laura M Sabatino-jan | Nurse Practitioner | 65 S. Emerson Avenue, Amity Harbor, NY 11701 | 2017-09-13 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| 1588193874 | Allison Herzog | Specialist | 41 Terry Avenue, Amityville, NY 11701 | 2017-06-08 |
| 1962949677 | Sherlin Golbari | Physician Assistant | 317 Broadway Suite A, Amytyville, NY 11701 | 2017-01-20 |
| 1598129710 | Yoko Shiraiwa | Nurse Practitioner | 78 Ocean Avenue, Amityville, NY 11701 | 2016-04-13 |
| 1891158820 | Grace Ann Budde | Health Educator | 30 S Ireland Pl, Amityville, NY 11701 | 2016-03-29 |
| 1720445497 | Sabrina A Rahman | Pharmacist | 355 A Broadway, Amityville, NY 11701 | 2016-01-26 |
| 1902245335 | Darlene Marie Mccurty | Specialist | 125 Larsen Dr, Amityville, NY 11701 | 2013-06-19 |
| 1457613507 | Edria Parks | Specialist | 14 Wanser Pl, Amityville, NY 11701 | 2012-06-14 |
| Find all providers in zip 11701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770932303 | Shane Tatar | Physician Assistant | 221 Broadway, 207, Amityville, NY 11701-2780 | 2016-06-04 |
| 1407000854 | Jason Brancato | Physician Assistant | 365 Broadway, Amityville, NY 11701-2716 | 2008-11-12 |
| 1639189723 | Donna Jean Degregorio | Physician Assistant | 1080 Sunrise Hwy, Maxine S Postal Tricommunity Health Center, Amityville, NY 11701 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | AMITYVILLE |
| Zip Code | 11701 |
Please comment or provide details below to improve the information on MRS. SHANNAN MARIE MAXEY-RICOY.
| 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.