MRS. MICHELLE LYLA VANDEE (NPI# 1922563949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922563949 |
Entity Type | Individual |
Full Name | MRS. MICHELLE LYLA VANDEE |
Practice Address |
215 Wyoming St Syracuse NY 13204-2927 |
Mailing Address |
9 King St Homer NY 13077-1011 |
Practice Telephone | 3152006080 |
Mailing Telephone | 6074239875 |
Enumeration Date | 2019-02-04 |
Last Update Date | 2019-02-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | NY | Other Service Providers |
Street Address |
215 WYOMING ST |
City | SYRACUSE |
State | NY |
Zip Code | 13204-2927 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992839898 | Kristina Suzanne Ciesielski | Counselor | 215 Wyoming St, Syracuse, NY 13204-2927 | 2007-03-15 |
1295370005 | Michelle Ratchford | Counselor | 215 Wyoming St, Syracuse, NY 13204-2927 | 2019-11-15 |
1588218507 | Victoria Groesbeck | Counselor | 215 Wyoming St, Syracuse, NY 13204-2927 | 2019-07-29 |
1679126585 | Katie Sadler | Counselor | 215 Wyoming St, Syracuse, NY 13204-2927 | 2019-07-19 |
1326609736 | Antoine Yancey Jr. | Counselor | 215 Wyoming St, Syracuse, NY 13204-2927 | 2019-06-26 |
1538729959 | Tessa Mosher | Community Health Worker | 215 Wyoming St, Syracuse, NY 13204-2927 | 2019-06-18 |
1073172029 | Lindsay Marie Stevens | Counselor | 215 Wyoming St, Syracuse, NY 13204-2927 | 2019-06-12 |
1972162188 | Claire Scheible | Counselor | 215 Wyoming St, Syracuse, NY 13204-2927 | 2019-06-11 |
1962068197 | Christina D Sorbello | Case Manager/Care Coordinator | 215 Wyoming St, Syracuse, NY 13204-2927 | 2019-05-13 |
1023573201 | Lauren Gee | Peer Specialist | 215 Wyoming St, Syracuse, NY 13204-2927 | 2019-02-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
Find all providers in zip 13204 |
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 |
---|---|---|---|---|
1447767025 | Reality Awareness Outreach Inc | Peer Specialist | 117 S Collingwood Ave, Syracuse, NY 13206 | 2018-01-04 |
1245849280 | Louis Shirley | Peer Specialist | 1045 James St, Syracuse, NY 13203-2730 | 2020-07-27 |
1760011829 | Kyle David Holst | Peer Specialist | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2020-04-02 |
1023573201 | Lauren Gee | Peer Specialist | 215 Wyoming St, Syracuse, NY 13204-2927 | 2019-02-01 |
1225586886 | Nathan Baird | Peer Specialist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-09-13 |
1316495005 | Paul Tucci | Peer Specialist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-09-12 |
1447706130 | Dennis Green | Peer Specialist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-09-01 |
1952857781 | Ruth Ciciriello | Peer Specialist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-08-31 |
1992251730 | Janette Chavan | Peer Specialist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-08-31 |
1942755251 | Kirsten Hubel | Peer Specialist | 620 Madison St, Syracuse, NY 13210-2319 | 2016-08-17 |
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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.