MS. CHRISTINA ANGELA ZACCARA (NPI# 1760672992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760672992 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINA ANGELA ZACCARA |
| Credential | LPN, RN, ANP |
| Practice Address |
21 Pentmoor Dr Mastic NY 11950-1605 |
| Practice Telephone | 6312817723 |
| Mailing Telephone | 6312817723 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2011-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 577561 | NY | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 272702 | NY | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | F305761-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02549291 | 05 |
| Street Address |
21 PENTMOOR DR |
| City | MASTIC |
| State | NY |
| Zip Code | 11950-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404054 | Ashley Arnold | Counselor | 1235 Montalk Highway, Mastic, NY 11950 | 2019-12-16 |
| 1457906935 | Creative Concepts Mental Health Counseling, PC | Counselor | 1360 Montauk Hwy 1st Floor East, Mastic, NY 11950 | 2019-08-02 |
| 1295242246 | Jamie Marie Lauro | Counselor | 37 Bedford Avenue, Mastic, NY 11950 | 2017-12-29 |
| 1932594025 | Elizabeth Liebson | Licensed Practical Nurse | 14 Logan Place, Mastic, NY 11950 | 2015-04-06 |
| 1659772341 | Lilianna Gul | Specialist | 12 Burney Blvd, Mastic, NY 11950 | 2014-09-12 |
| 1023423910 | Savannah Berliner | Nursing Home Administrator | 76 Franklin Ave, Mastic, NY 11950 | 2014-06-30 |
| 1104196013 | Ruth Ann Rainone | Registered Nurse | 170 Mastic Blvd, Mastic, NY 11950 | 2012-01-09 |
| 1174846489 | Amy Lynette Chaves | Licensed Practical Nurse | 158 Vanburen Street, Mastic, NY 11950 | 2010-03-02 |
| 1780805226 | Rosalye Diane Friedman | Social Worker | 1235 Montauk Highway, Mastic, NY 11950 | 2007-05-01 |
| 1063575066 | Walter E Haberstroh | Chiropractor | 1245 Montauk Hwy, Mastic, NY 11950 | 2006-12-19 |
| Find all providers in zip 11950 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235432 | Koli Eckert | Nurse Practitioner | 2455 77th St Fl 2, East Elmhurst, NY 11370-1525 | 2020-11-04 |
| 1134728942 | Angelyn Arielle Brown | Nurse Practitioner | 3332 Walden Ave Ste 1100, Depew, NY 14043-2400 | 2020-10-22 |
| 1871191056 | Natalie Larissa Cohen | Nurse Practitioner | 555 Laguardia Pl, New York, NY 10012-1402 | 2020-10-11 |
| 1841807799 | Raquel Shivanna Sookram | Nurse Practitioner | 5505 Myrtle Ave, Ridgewood, NY 11385-3550 | 2020-09-24 |
| 1154938264 | Haessal Kim | Nurse Practitioner | 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 | 2020-09-23 |
| 1235745282 | April Lynne Mott | Nurse Practitioner | 600 Ivy St Ste 108, Elmira, NY 14905-1627 | 2020-09-16 |
| 1407461676 | Kim Marie Neenan-reilly | Nurse Practitioner | 7200 Douglaston Pkwy, Main Floor, Douglaston, NY 11362-1941 | 2020-09-14 |
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1992316996 | Cassandra Dionne Saint-furcy | Nurse Practitioner | 6 Provenzano St, Inwood, NY 11096-1410 | 2020-08-12 |
| 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.