MISS THERESA M PEQUEEN (NPI# 1720328412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720328412 |
| Entity Type | Individual |
| Full Name | MISS THERESA M PEQUEEN |
| Credential | FNP |
| Practice Address |
38 N Main St Delevan NY 14042-9501 |
| Practice Telephone | 7167077040 |
| Mailing Telephone | 7167077040 |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F337625-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
38 N MAIN ST |
| City | DELEVAN |
| State | NY |
| Zip Code | 14042-9501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770929937 | Jodi Lynn Kottwitz | Registered Nurse | 38 N Main St, Delevan, NY 14042-9501 | 2013-05-15 |
| 1225259971 | Andrew Tedesco | Dentist | 38 N Main St, Delevan, NY 14042-9501 | 2007-05-01 |
| 1497749063 | Thomas John Sabuda | Dentist | 38 N Main St, Delevan, NY 14042-9501 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104136068 | Marybeth Christina Freitas | Speech-Language Pathologist | 30 School Street, Delevan, NY 14042 | 2010-10-13 |
| 1497901318 | Paul Brian Fenner | Registered Nurse | 65 Delevan Ave, Delevan, NY 14042 | 2008-08-12 |
| 1386701761 | Paula S Green | Licensed Practical Nurse | 17 Cobb Ave, Delevan, NY 14042-0162 | 2007-01-03 |
| 1689957714 | Janice M Wald | Speech-Language Pathologist | 30 School Street, Delevan, NY 14042-0217 | 2011-09-26 |
| 1033356860 | Melanie L Whitton | Licensed Practical Nurse | 31 Pine View Dr, Delevan, NY 14042-9424 | 2009-01-15 |
| 1740504877 | Olean Cardiology P C | Internal Medicine | 38 N Main St - Rt 16, Suite 2, Delevan, NY 14042-9501 | 2010-03-18 |
| 1760041370 | Ralph Anthony Disarno | Licensed Practical Nurse | 148 Kody Ln, Delevan, NY 14042-9523 | 2019-06-07 |
| 1568642205 | Frederick Sandefer | Pharmacist | 3355 Grove St, Delevan, NY 14042-9530 | 2007-11-09 |
| 1396102646 | S.m.r Cares | Home Health | 67 Delevan Ave, Delevan, NY 14042-9610 | 2016-01-18 |
| 1811218340 | Karen M Dettelis | Licensed Practical Nurse | 23 Smith Ave, Delevan, NY 14042-9661 | 2010-06-18 |
| Find all providers in zip 14042 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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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.