DEBRA THERIAULT (NPI# 1740307156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740307156 |
| Entity Type | Individual |
| Full Name | DEBRA THERIAULT |
| Practice Address |
19 Hodskin St Canton NY 13617-1175 |
| Mailing Address |
494 County Route 24 Gouverneur NY 13642-3555 |
| Practice Telephone | 3153791445 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 315087 | NY | Nursing Service Providers |
| Street Address |
19 HODSKIN ST |
| City | CANTON |
| State | NY |
| Zip Code | 13617-1175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255320230 | Brian Eric Boutilier | Physical Therapist | 19 Hodskin St, Canton, NY 13617-1175 | 2005-10-21 |
| 1255723631 | Homemakers of Western New York | Home Health | 19 Hodskin St, Canton, NY 13617-1175 | 2015-02-23 |
| 1265709513 | Stacy Soper | Licensed Practical Nurse | 19 Hodskin St, Canton, NY 13617-1175 | 2011-11-30 |
| 1295017432 | Joseph St Denis | Registered Nurse | 19 Hodskin St, Canton, NY 13617-1175 | 2011-09-14 |
| 1780817643 | Christopher David Towler | Physical Therapist | 19 Hodskin St, Canton, NY 13617-1175 | 2009-08-26 |
| 1477697019 | Elizabeth Chapman | Registered Nurse | 19 Hodskin St, Canton, NY 13617-1175 | 2007-02-16 |
| 1710029590 | Tina Hanna | Registered Nurse | 19 Hodskin St, Canton, NY 13617-1175 | 2007-02-12 |
| 1033251848 | Bridget Hurlbut | Registered Nurse | 19 Hodskin St, Canton, NY 13617-1175 | 2007-02-12 |
| 1770514036 | Brittany M Delisle | Physical Therapist | 19 Hodskin St, Suite 1, Canton, NY 13617-1175 | 2006-07-05 |
| 1811974082 | William Rodolfo Pena | Physical Therapist | 19 Hodskin St, Ste 1, Canton, NY 13617-1175 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194333583 | Wylia Hartman | Registered Nurse | 3007 Treeside St Nw, Canton, OH 44709-1906 | 2020-07-21 |
| 1932726783 | Rebecca Lorraine Castle | Registered Nurse | 327 Sunset Rd, Canton, PA 17724-7680 | 2020-06-28 |
| 1225654213 | Kayla Sangrey | Registered Nurse | 609 Gold Valley Pass, Canton, GA 30114-7774 | 2020-06-25 |
| 1235751934 | Matthew Delaney Hinkle | Registered Nurse | 148 Stonegate Ln, Canton, GA 30114-6683 | 2020-05-15 |
| 1841821303 | Sara Kathleen Mallady | Registered Nurse | 2537 Brookdale St Nw, Canton, OH 44709-2255 | 2020-02-03 |
| 1104471457 | Kirk David Sauro | Registered Nurse | 47523 Ormskirk Dr, Canton, MI 48188-7233 | 2019-08-05 |
| 1558926352 | Kathleen Gabrielle Dipietro | Registered Nurse | 716 24th St Ne, Canton, OH 44714-1902 | 2019-05-07 |
| 1154985414 | Charity Katio Otieno | Registered Nurse | 44963 Lemont Rd, Canton, MI 48187-5021 | 2019-04-23 |
| 1861955205 | Maria Hammer | Registered Nurse | 47075 Hidden River Cir S, Canton, MI 48188-6312 | 2019-04-11 |
| 1558829549 | Sandra Maria Medley | Registered Nurse | 44695 Forest Trail Dr, Canton, MI 48187-1704 | 2019-03-08 |
| Find all providers in CANTON | ||||
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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.