KEMBA HAZELEY (NPI# 1811505928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811505928 |
Entity Type | Individual |
Full Name | KEMBA HAZELEY |
Credential | NNP-BC |
Practice Address |
1825 Eastchester Rd Fl 5n Bronx NY 10461-2301 |
Mailing Address |
111 N 3rd Ave Apt 3u Mount Vernon NY 10550-1375 |
Practice Telephone | 7189044032 |
Mailing Telephone | 8453235620 |
Enumeration Date | 2020-07-15 |
Last Update Date | 2020-07-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
F350491 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1825 EASTCHESTER RD FL 5N |
City | BRONX |
State | NY |
Zip Code | 10461-2301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
Find all providers in zip 10461 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053723858 | Jillian Gallagher | Nurse Practitioner | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2014-05-28 |
1679901367 | Benay Johnson | Nurse Practitioner | 1650 Grand Concourse, Ob/gyn, Bronx, NY 10457-7606 | 2013-10-16 |
1487976361 | Gemma Rosario Calderon | Nurse Practitioner | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2010-02-19 |
1245484344 | Shari Marla Gilbert | Nurse Practitioner | 1650 Selwyn Ave, Bronx, NY 10457-7626 | 2008-11-17 |
1457437337 | Donna M Geiss | Nurse Practitioner | 1400 Pelham Pkwy S, Room 807, Bronx, NY 10461-1138 | 2006-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558929802 | Sanidine C Hofilena | Nurse Practitioner | 1256 E 59th St, Brooklyn, NY 11234-3304 | 2019-06-02 |
1376068916 | Jennifer D Haas | Nurse Practitioner | 101 Nicholls Road Hsc T 11 060, Stony Brook, NY 11794-0001 | 2017-08-04 |
1346779162 | Priya Pathadan | Nurse Practitioner | 8900 Vanwyck Expressway, Jamaica Hospital Medical Center -nicu, Jamaica, NY 11418 | 2017-06-06 |
1265807846 | Colleen Carmody | Nurse Practitioner | 148 Saint Marks Pl, Massapequa, NY 11758-6422 | 2015-12-08 |
1265812150 | Brandi Aemisegger | Nurse Practitioner | 373 Biddle Loop, West Point, NY 10996-1307 | 2015-06-04 |
1851718035 | Pat Buenvenida | Nurse Practitioner | 234 East 118th Street, 1, New York, NY 10035 | 2014-03-25 |
1750710729 | Charlene Lyons | Nurse Practitioner | 100 Nicolls Rd # Level5, Stony Brook, NY 11794-8111 | 2013-11-10 |
1619313178 | Grace Propper | Nurse Practitioner | 2880 North Ocean Ave, Farmingville, NY 11738 | 2013-05-10 |
1528337698 | Anne Marie Jorgensen | Nurse Practitioner | 32 Rochelle Dr, New City, NY 10956-5853 | 2011-12-20 |
1083874986 | Cathy A Hanna-talbot | Nurse Practitioner | 41 Saint Marks Ln, Islip, NY 11751-4125 | 2008-06-13 |
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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.