ALLIYAH OKHAMVILAYSACK (NPI# 1912422304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912422304 |
| Entity Type | Individual |
| Full Name | ALLIYAH OKHAMVILAYSACK |
| Practice Address |
3255 Route 39 Bliss NY 14024-9730 |
| Practice Telephone | 7162581235 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EMT-B | 431787 | 01 |
| Street Address |
3255 ROUTE 39 |
| City | BLISS |
| State | NY |
| Zip Code | 14024-9730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760773386 | Hollie Ann Brooks | Counselor | 3327 Telegraph Rd, Bliss, NY 14024-9602 | 2011-04-30 |
| 1518148675 | Bonnie K Madison | Massage Therapist | 4682 Telegraph Rd, Bliss, NY 14024-9626 | 2007-11-16 |
| 1235565185 | Eileen G. Flynn | Occupational Therapy Assistant | 6744 Flynn Rd, Bliss, NY 14024-9736 | 2013-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235565185 | Eileen G. Flynn | Occupational Therapy Assistant | 6744 Flynn Rd, Bliss, NY 14024-9736 | 2013-09-24 |
| 1760773386 | Hollie Ann Brooks | Counselor | 3327 Telegraph Rd, Bliss, NY 14024-9602 | 2011-04-30 |
| 1134383359 | Sheri Showers | Home Health | 1925 Power Plant Rd #497, Bliss, ID 83314 | 2008-07-16 |
| 1518148675 | Bonnie K Madison | Massage Therapist | 4682 Telegraph Rd, Bliss, NY 14024-9626 | 2007-11-16 |
| 1922120724 | Bliss School District | Local Education Agency (LEA) | 601 East Main Street, Bliss, ID 83314-0115 | 2007-04-04 |
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723226 | Kaelee Bouleris | Emergency Medical Technician, Basic | 203 County Route 70, Stillwater, NY 12170-2000 | 2020-09-03 |
| 1245869981 | Weli Sanbul Aden I | Emergency Medical Technician, Basic | 214 E James St Apt 6, Syracuse, NY 13206-2565 | 2020-04-04 |
| 1932738762 | Yael Beer | Emergency Medical Technician, Basic | 6411 99th St Apt 107, Rego Park, NY 11374-2625 | 2020-04-03 |
| 1881223972 | Annanina Corsica | Emergency Medical Technician, Basic | 435 E 30th St, New York, NY 10016-8304 | 2020-04-02 |
| 1578191888 | John Eccleston | Emergency Medical Technician, Basic | 15 Duer Ln, Staten Island, NY 10301-3014 | 2020-03-31 |
| 1821633868 | Samantha Chang | Emergency Medical Technician, Basic | 10 Happy Acres Dr, Shirley, NY 11967-3015 | 2019-11-13 |
| 1477024909 | Justin Unislawski | Emergency Medical Technician, Basic | 4 Van Wyck St, Gloversville, NY 12078 | 2018-12-10 |
| 1356850820 | Gavin John Maclachlan | Emergency Medical Technician, Basic | 115 Downing Rd, De Witt, NY 13214-1547 | 2017-09-27 |
| 1205351731 | Serena Grainge | Emergency Medical Technician, Basic | 3677 River Rd, Youngstown, NY 14174-9700 | 2017-08-05 |
| 1447774336 | Bryana Vishion | Emergency Medical Technician, Basic | 141 Witmer Rd, North Tonawanda, NY 14120-2455 | 2017-08-01 |
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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.