DEBRA A PURE (NPI# 1790329951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790329951 |
| Entity Type | Individual |
| Full Name | DEBRA A PURE |
| Credential | CRPA |
| Practice Address |
550 Montauk Hwy Shirley NY 11967-2114 |
| Practice Telephone | 6318521070 |
| Practice Fax Number | 6318521119 |
| Mailing Telephone | 6318521070 |
| Mailing Fax Number | 6318521119 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 3669 | NY | Other Service Providers |
| Street Address |
550 MONTAUK HWY |
| City | SHIRLEY |
| State | NY |
| Zip Code | 11967-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255378758 | Sobia Rizvi | Psychiatry & Neurology | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2006-06-01 |
| 1700428125 | Ramon Michael Monteiro | Counselor | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2019-10-17 |
| 1912550278 | Tracy Diorio | Social Worker | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2019-07-16 |
| 1982266060 | Jessica Poelker | Social Worker | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2019-06-28 |
| 1548665656 | Joyce Little | Social Worker | 550 Montauk Hwy, Hudson River Healthcare, Inc., Shirley, NY 11967-2114 | 2014-10-31 |
| 1417352709 | Hudson River Healthcare, Inc. | Case Management | 550 Montauk Hwy, Hrhcare Shirley, Shirley, NY 11967-2114 | 2014-10-29 |
| 1154745917 | Frederica King | Registered Nurse | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2014-02-13 |
| 1083036313 | Debbie-ann Katheen Ellington-tulloch | Nurse Practitioner | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2014-01-06 |
| 1184068066 | Jacquelyn M. Gilde | Social Worker | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2013-04-23 |
| 1497020606 | Lisa Failla | Registered Nurse | 550 Montauk Hwy, Shirley, NY 11967-2114 | 2012-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588149744 | Dawn Kirby | Licensed Practical Nurse | 8 Crestwood Drive, Shirley, NY 11967 | 2018-10-03 |
| 1538684451 | Crystal E Gambles | Licensed Practical Nurse | 502 Wellwood Drive, Shirley, NY 11967 | 2017-08-11 |
| 1003330887 | Aura Blum Care, Inc | Licensed Practical Nurse | 436 Auborn Av, Shirley, NY 11967 | 2017-08-02 |
| 1891239687 | Holly Scott-rodriguez | Behavior Technician | 57 Probst Drive, Shirley, NY 11967 | 2016-12-13 |
| 1487106357 | Joann C Duran | Licensed Practical Nurse | 320 Decatur Avenue, East Yaphank, NY 11967 | 2016-10-26 |
| 1053776815 | Andrea Janet Murphy-hamilton | Registered Nurse | 369 Puritan Dr., N Shirley, NY 11967 | 2015-12-22 |
| 1588039598 | Thomas B Maher | Student in an Organized Health Care Education/Training Program | 483 West End Ave., Shirley, NY 11967 | 2015-12-02 |
| 1346676707 | Sharon Marie Dougherty | Social Worker | 1250 William Floyd Parkway, Shirley, NY 11967 | 2013-09-17 |
| 1083964241 | Charlotte Dametra Fleming | Licensed Practical Nurse | 420 Lakepointe Drive, Middleisland, NY 11967 | 2012-09-14 |
| 1982954277 | Sefika Dimaggio | Registered Nurse | 32 Candido Ave, Shirley, NY 11967 | 2012-09-13 |
| Find all providers in zip 11967 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385896 | Gary N/a Peluso | Peer Specialist | 62 Allan Dr, East Norwich, NY 11732-1203 | 2020-10-28 |
| 1043810138 | Ryan Hope Mcgovern | Peer Specialist | 950 S Oyster Bay Rd Bay Road, Hicksville, NY 11801-3510 | 2020-10-28 |
| 1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
| 1801409842 | Alexander Mannino | Peer Specialist | 419 Palisade Ave, Yonkers, NY 10703-2610 | 2020-08-28 |
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
| 1700404001 | Kathy Annett Gardini | Peer Specialist | 1914 Brookhaven Ave, Far Rockaway, NY 11691-3626 | 2020-07-13 |
| 1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
| 1174140545 | Mercedes Busby | Peer Specialist | 118 Brauncroft Ln, Amherst, NY 14226-4957 | 2020-07-01 |
| 1457977258 | Carla J Alomar | Peer Specialist | 414 Martin Rd, Lackawanna, NY 14218-2830 | 2020-06-18 |
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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.