PEACE KULLERKUPP (NPI# 1982107256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982107256 |
| Entity Type | Individual |
| Full Name | PEACE KULLERKUPP |
| Credential | PARAMEDIC |
| Practice Address |
152 Banko Dr Depew NY 14043-1206 |
| Practice Telephone | 7162408523 |
| Mailing Telephone | 7162408523 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 129508 | NY | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | FEDERAL NUMBER | 74-3156453 | 01 |
| Street Address |
152 BANKO DR |
| City | DEPEW |
| State | NY |
| Zip Code | 14043-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578117016 | Jennifer Wojcik | Specialist | 2049 George Urban Blvd., Depew, NY 14043 | 2019-08-01 |
| 1437628674 | Kelsey Marie Adams | Student in an Organized Health Care Education/Training Program | 171 Kokomo St. Apt 4, Depew, NY 14043 | 2018-11-16 |
| 1316425523 | Katherine Kolarczyk | Occupational Therapist | 2039 George Urban Boulevard, Depew, NY 14043 | 2018-07-31 |
| 1548786387 | Christina Sobieski | Specialist | 458 Dick Rd, Apt. B2, Depew, NY 14043 | 2017-08-14 |
| 1811418825 | Erin Kathleen Paone | Physician Assistant | 6337 Transit Rd, Depew, NY 14043 | 2017-06-29 |
| 1003350349 | Restoration Salon and Spa | Point of Service | 425 French Road, Depew, NY 14043 | 2016-12-06 |
| 1336525104 | Erica Janette Weber | Pharmacist | 236 Zurbrick Rd, Depew, NY 14043 | 2015-08-04 |
| 1205218781 | Ryan Edwin Knolhoff | Physical Therapy Assistant | 44 A Street, Depew, NY 14043 | 2015-06-22 |
| 1609297563 | Christine Lee Bartkowiak | Pharmacist | 4975 Transit Road, Depew, NY 14043 | 2013-12-19 |
| 1336499656 | Jennifer Warrington | Pharmacist | 124 Taylor Road, Depew, NY 14043 | 2012-09-13 |
| Find all providers in zip 14043 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839836 | City of Schenectady | Emergency Medical Technician, Paramedic | 360 Veeder Ave, Schenectady, NY 12305-2793 | 2020-10-23 |
| 1336767979 | David Ramos | Emergency Medical Technician, Paramedic | 2523 Olinville Ave, Bronx, NY 10467-7580 | 2020-07-09 |
| 1639790173 | Judah Jay Karkowsky | Emergency Medical Technician, Paramedic | 20 Irving Pl, Woodmere, NY 11598-1230 | 2020-05-06 |
| 1710508361 | Amanda Marie Delaney | Emergency Medical Technician, Paramedic | 410 Long Pond Dr Apt 87, Schenectady, NY 12306-6876 | 2020-05-05 |
| 1548899529 | Michael Alexnder | Emergency Medical Technician, Paramedic | 101 W End Ave Apt 11v, New York, NY 10023-6321 | 2020-04-02 |
| 1710445259 | Nikita Goltyapin | Emergency Medical Technician, Paramedic | 160 Broadway Rm 1107, New York, NY 10038-4212 | 2019-03-04 |
| 1285144220 | Shawn Tompkins | Emergency Medical Technician, Paramedic | 3 Martha Ln, Kirkville, NY 13082-9417 | 2017-10-04 |
| 1649780644 | James Chester Pienkowski | Emergency Medical Technician, Paramedic | 4655 Glencliffe Rd, Manlius, NY 13104-2303 | 2017-10-04 |
| 1235654369 | Scott Then | Emergency Medical Technician, Paramedic | 57 Dellwood Rd, Amherst, NY 14226-2412 | 2017-08-09 |
| 1922523455 | Andrew Laplante | Emergency Medical Technician, Paramedic | 7263 Ward Rd, North Tonawanda, NY 14120-1437 | 2017-08-05 |
| Find all providers with the same taxonomy | ||||
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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.