MICHELLE PENNELLA (NPI# 1962957969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962957969 |
| Entity Type | Individual |
| Full Name | MICHELLE PENNELLA |
| Practice Address |
14202 20th Ave Flushing NY 11351-3000 |
| Practice Telephone | 9175633350 |
| Mailing Telephone | 9175633350 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
14202 20TH AVE |
| City | FLUSHING |
| State | NY |
| Zip Code | 11351-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902007578 | Sadina L. Fischer | Registered Nurse | 14202 20th Ave, Flushing, NY 11351-3000 | 2007-05-30 |
| 1114528106 | Chartonnai Alexi Taylor | Social Worker | 14202 20th Ave, Flushing, NY 11351-3000 | 2020-11-05 |
| 1063020519 | Jeremy Allan James | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2020-07-21 |
| 1396364618 | Conor Ross Ohland | Counselor | 14202 20th Ave, Flushing, NY 11351-3000 | 2020-04-16 |
| 1205486933 | Elizabeth Morrison | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-09-15 |
| 1760032668 | Dominique Josephine Lippolis | Social Worker | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-09-13 |
| 1417507369 | Jessica Asherian | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-09-12 |
| 1114573243 | Olivia Marie Delisa | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-08-14 |
| 1649823899 | Taylor Paige Logerfo | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-07-17 |
| 1841850344 | Merovee Georgette Kahouo | Registered Nurse | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578087045 | Tiare Martinez | Student in an Organized Health Care Education/Training Program | 142-02 20th Avenue Flushing, Flushing, NY 11351 | 2017-07-27 |
| 1285156919 | Anita Elaine Robinson | Peer Specialist | 142-02 20 3rd Floor, Flushing, NY 11351 | 2017-07-14 |
| 1386008795 | Denise Dougherty | Case Manager/Care Coordinator | 142-02 20th Ave, Flushing, NY 11351 | 2016-04-12 |
| 1386019149 | Mary F. Raggio | Peer Specialist | 142-02 20th Avenue 3rd Floor, Psch, Flushing, NY 11351 | 2015-12-04 |
| 1518338607 | Kirby Goldberg | Student in an Organized Health Care Education/Training Program | 142-02 20th Avenue, The Pederson-krag Center, Flushing, NY 11351 | 2015-10-14 |
| 1356748362 | Coraine Coretta Burgess I | Registered Nurse | 14202 20th Avenue, Flushing, NY 11351 | 2014-11-20 |
| 1457838856 | Rachel Schaller | Student in an Organized Health Care Education/Training Program | 14202 20th Ave Fl 3, Flushing, NY 11351 | 2018-07-27 |
| 1154812469 | Samantha Nisi | Student in an Organized Health Care Education/Training Program | 142-02 20th Avenue, Flushing, NY 11351 | 2018-05-22 |
| 1942791520 | Judith Elaine Utting | Registered Nurse | 142-02 20th Ave, Flushing, NY 11351 | 2018-05-19 |
| 1174022156 | Jonathan Sem | Student in an Organized Health Care Education/Training Program | 142-02 20th Avenue, Flushing, NY 11351 | 2018-02-06 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946745 | Alexandra Zariffeh | Student in an Organized Health Care Education/Training Program | 4415 Colden St Apt 4s, Flushing, NY 11355-4007 | 2020-09-10 |
| 1013520212 | Kalliopi Konstantinopoulou | Student in an Organized Health Care Education/Training Program | 14060 Beech Ave Apt 3s, Flushing, NY 11355-2833 | 2020-08-26 |
| 1922611359 | Jamele Chiao | Student in an Organized Health Care Education/Training Program | 13454 Maple Ave Apt 5l, Flushing, NY 11355-4539 | 2020-08-25 |
| 1790307064 | Shari B. Miller | Student in an Organized Health Care Education/Training Program | 14110 70th Ave Apt 2, Flushing, NY 11367-1928 | 2020-05-10 |
| 1184245300 | Moisey Fazylov | Student in an Organized Health Care Education/Training Program | 8519 65th Ave, Flushing, NY 11374-5039 | 2020-04-28 |
| 1528688728 | Tashalee Shanice Mcgrath-blagrove | Student in an Organized Health Care Education/Training Program | 4500 Parsons Blvd Bldg Ste 410, Flushing, NY 11355-2205 | 2020-04-17 |
| 1508495672 | Sarah Y Kim | Student in an Organized Health Care Education/Training Program | 13105 40th Rd Apt Ph3c, Flushing, NY 11354-5188 | 2020-04-02 |
| 1871122812 | Kwang Kim | Student in an Organized Health Care Education/Training Program | 16201 Northern Blvd # 790, Flushing, NY 11358-1634 | 2020-04-02 |
| 1528696820 | Rovena Pjetergjoka | Student in an Organized Health Care Education/Training Program | 13855 78th Dr, Flushing, NY 11367-3237 | 2020-03-31 |
| 1710514112 | Syed Zia Ullah | Student in an Organized Health Care Education/Training Program | Newyork-presbyterian Queens 56-45 Main Street Flushing, Flushing, NY 11355-1135 | 2020-03-25 |
| Find all providers in FLUSHING | ||||
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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.