MARY MCKILLOP (NPI# 1891243218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891243218 |
| Entity Type | Individual |
| Full Name | MARY MCKILLOP |
| Practice Address |
14379 Rt 9w Circle of Friends Ravena NY 12143-3103 |
| Practice Telephone | 5187563124 |
| Practice Fax Number | 5187569476 |
| Mailing Telephone | 5187563124 |
| Mailing Fax Number | 5187569476 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 304575 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316156235 | Mary Mckillop | Speech-Language Pathologist | 100 N Park Ave, Rockville Centre, NY 11570-4107 | 2007-05-21 |
| Street Address |
14379 RT 9W CIRCLE OF FRIENDS |
| City | RAVENA |
| State | NY |
| Zip Code | 12143-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659617652 | Shannon A Burns | Specialist | 14379 Rt 9w, Ravena, NY 12143-0000 | 2012-12-19 |
| 1477069144 | Kara Jayne Risley | Specialist | 14379 Rt 9w, Ravena, NY 12143 | 2017-12-18 |
| 1306276126 | Ashley Gardner Allen | Early Intervention Provider Agency | 14379 Rt 9w, Ravena, NY 12143 | 2013-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851817027 | Bryan Dyer | Pharmacist | Cvs - Faith Plaza, Route 9w, Ravena, NY 12143 | 2017-08-18 |
| 1124475553 | Brynn Saltis | Counselor | 249 Starr Rd., Ravena, NY 12143 | 2016-05-16 |
| 1346502135 | Stephanie Marie D'esposito | Specialist | 22 Wonder-vue Drive, Ravena, NY 12143 | 2012-06-08 |
| 1316224306 | Victoria Elizabeth Tesch | Speech-Language Pathologist | 15 Mountain Rd, Ravena-coeymans-selkirk Central School District, Ravena, NY 12143 | 2011-11-04 |
| 1245513001 | Patricia Lefevre | Registered Nurse | 2025 Rt 9w, Ravena, NY 12143 | 2011-09-27 |
| 1689957425 | Sandra Doane | Registered Nurse | 2025 Rt. 9w, Ravena, NY 12143 | 2011-09-27 |
| 1750604252 | Philip M Gatti | Pharmacist | Faith Plaza, Rt-9w, Ravena, NY 12143 | 2010-03-11 |
| 1043541105 | Brian J Touhey | Pharmacist | Faith Plaza Route 9w, Ravena, NY 12143 | 2010-01-28 |
| 1306016548 | Senior Projects of Ravena,inc | Taxi | 9 Bruno Blouvard, Ravena, NY 12143 | 2008-03-04 |
| 1891973558 | Kevin Michael Mocerine | Pharmacist | Faith Plaza Rt. 9w, Ravena, NY 12143 | 2008-02-05 |
| Find all providers in zip 12143 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679944201 | Akra Scott | Specialist | 209 Biechman Rd, Ravena, NY 12143-2717 | 2015-10-08 |
| 1659617652 | Shannon A Burns | Specialist | 14379 Rt 9w, Ravena, NY 12143-0000 | 2012-12-19 |
| 1346502135 | Stephanie Marie D'esposito | Specialist | 22 Wonder-vue Drive, Ravena, NY 12143 | 2012-06-08 |
| 1790046605 | Andrea M. Persico | Specialist | 44 Western Ave, Ravena, NY 12143-1415 | 2012-06-06 |
| 1477069144 | Kara Jayne Risley | Specialist | 14379 Rt 9w, Ravena, NY 12143 | 2017-12-18 |
| 1164856878 | Alana Wickware | Specialist | 14379 Route 9w, Ravena, NY 12143 | 2013-08-29 |
| 1154664456 | Christene E Wenger | Specialist | 14379 Route 9w, Circle of Friends, Ravena, NY 12143-0000 | 2013-04-04 |
| 1841555968 | Alice O Kearse | Specialist | 14379 Route 9w, Circle of Friends, Ravena, NY 12143-0000 | 2012-07-05 |
| 1528322468 | Marina Walsh | Specialist | 14379 Route 9w, Circle of Friends, Ravena, NY 12143-0000 | 2012-06-26 |
| 1699038794 | Pamela L Early | Specialist | 14379 Route 9w, Circle of Friends, Ravena, NY 12143-0000 | 2012-06-22 |
| Find all providers in RAVENA | ||||
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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.