PRIYANKA TADEPALLI (NPI# 1942812623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942812623 |
| Entity Type | Individual |
| Full Name | PRIYANKA TADEPALLI |
| Credential | CPNP-PC |
| Practice Address |
707 E Main St Middletown NY 10940-2650 |
| Practice Telephone | 8453333370 |
| Practice Fax Number | 8453333372 |
| Mailing Telephone | 8453333370 |
| Mailing Fax Number | 8453333372 |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
383161 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
707 E MAIN ST |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275942 | Mihai Olteanu | Anesthesiology | 707 E Main St, Middletown, NY 10940 | 2005-06-15 |
| 1699373944 | Cara Maher | Speech-Language Pathologist | 707 E Main St, Middletown, NY 10940-2650 | 2020-10-09 |
| 1396358552 | Rachel Chassen | Nurse Practitioner | 707 E Main St, Middletown, NY 10940-2650 | 2020-08-27 |
| 1447868807 | Jennifer Marie Wade | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-07-21 |
| 1558989004 | Anisha Vadehra | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-07-10 |
| 1740805464 | Zahid Mahmood | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-09 |
| 1780209338 | Umbreen Ahmad | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-09 |
| 1306460100 | Manal Saif | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-08 |
| 1083238984 | Arezoo Teimouri | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-05 |
| 1194349514 | Saad Kaif | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820077 | Karen Wood | Nurse Practitioner | 1272 W Main Rd Bldg 3, Middletown, RI 02842-6335 | 2020-10-29 |
| 1194140400 | Lorna A Divino | Nurse Practitioner | 200 Cleaver Farms Rd Ste 201, Middletown, DE 19709 | 2014-02-24 |
| 1891125654 | Talena Ullery | Nurse Practitioner | 200 Hollytree Dr, Middletown, OH 45044-3340 | 2013-11-14 |
| 1821345018 | Winifred S. O. Mellinger | Nurse Practitioner | 122 Silver Lake Road, Middletown School Based Health Center, Middletown, DE 19709 | 2012-08-07 |
| 1497944425 | Kerry Rose Stephenson | Nurse Practitioner | 575 Main St Fl 2, Attn: Credentialing Dpt, Middletown, CT 06457-2845 | 2007-10-16 |
| 1750856274 | Caroline Elizabeth Stockert | Nurse Practitioner | 300 Crystal Run Rd, Middletown, NY 10941-4069 | 2018-10-11 |
| 1669955910 | Lauren Michelle Grant | Nurse Practitioner | 333 Conover Dr Ste B, Middletown, OH 45005-1900 | 2018-09-12 |
| 1437435419 | Sandra Dawn Fomenko | Nurse Practitioner | 635 Main St, Middletown, CT 06457-2718 | 2011-10-22 |
| 1104112531 | Sandra Louise Bailey | Nurse Practitioner | 331 N Breiel Blvd, Middletown, OH 45042-3868 | 2011-06-23 |
| 1528249331 | Jennifer Darcy Hill | Nurse Practitioner | 635 Main St, Middletown, CT 06457-2718 | 2007-11-20 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on PRIYANKA TADEPALLI.
| 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.