BONITA PORCELLO (NPI# 1982603882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982603882 |
| Entity Type | Individual |
| Full Name | BONITA PORCELLO |
| Credential | CNP |
| Practice Address |
535 Main St Olean NY 14760-1513 |
| Practice Telephone | 7163762203 |
| Practice Fax Number | 7163736632 |
| Mailing Telephone | 7163762203 |
| Mailing Fax Number | 7163736632 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F300425 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01288279 | 05 |
| Street Address |
535 MAIN ST |
| City | OLEAN |
| State | NY |
| Zip Code | 14760-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380242 | Othoniel Castro | Psychiatry & Neurology | 535 Main St, Olean, NY 14760-1513 | 2005-07-18 |
| 1962979419 | Tamara L Chaffee | Midwife | 535 Main St, Olean, NY 14760-1500 | 2018-11-01 |
| 1902304066 | Matthew Wayne Ring | Nurse Practitioner | 535 Main St, Olean, NY 14760-1500 | 2018-01-24 |
| 1851743066 | Michelle Marie Christie | Physician Assistant | 535 Main St, Olean, NY 14760-1500 | 2016-07-12 |
| 1629470265 | Mattison Baker | Physician Assistant | 535 Main St, Olean, NY 14760-1500 | 2014-09-25 |
| 1912337718 | Renee Hansen | Midwife | 535 Main St, Olean, NY 14760-1500 | 2013-11-15 |
| 1528301918 | Tressa M Jordan | Podiatrist | 535 Main St, Olean, NY 14760-1500 | 2013-04-03 |
| 1003152174 | Neha Bansal | Internal Medicine | 535 Main St, Olean, NY 14760-1500 | 2012-12-18 |
| 1861765331 | Christine Ann Wild | Nurse Practitioner | 535 Main St, Olean, NY 14760-1500 | 2012-02-14 |
| 1942584180 | Kathryn Anne Nelson | Physician Assistant | 535 Main St, Olean, NY 14760-1500 | 2011-10-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265880 | Hussein Elattar | Anesthesiology | 515 Main St., Olean, NY 14760 | 2018-12-03 |
| 1679956460 | Ca Boces | Day Training, Developmentally Disabled Services | 1626 Washington St., Olean, NY 14760 | 2015-06-30 |
| 1386021566 | Roop Kiran Kaur | Family Medicine | 135 N. Union Street, Olean, NY 14760 | 2015-04-27 |
| 1619389475 | Sebastian Wilk | Internal Medicine | Olean Medical Group, 535 Main St, Olean, NY 14760 | 2014-05-28 |
| 1205264603 | Joseph Patrick Bohan | Urology | 2110 Dugan Rd, Joseph P Bohan Md, Olean, NY 14760 | 2013-10-22 |
| 1205181062 | Sarah Catherine Lyons | Registered Nurse | 1620 Washington Street, Olean, NY 14760 | 2012-07-18 |
| 1528355237 | Judy B. Luensman | Speech-Language Pathologist | 1825 Windfall Road, Boces Center At Olean, Olean, NY 14760 | 2011-07-01 |
| 1053619395 | Tracy A Giardini | Physical Therapist | 1626 Washington Street, Washington West School, Olean, NY 14760 | 2011-03-10 |
| 1154557007 | Aditi A. Parikh | Dentist | 3018 Ny Route 417, Olean, NY 14760 | 2009-06-05 |
| 1336396688 | Ashley Norell Bartz | Physician Assistant | 2646 West State Street, Suite 405, Olean, NY 14760 | 2008-08-19 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962422667 | Josephine Raab | Nurse Practitioner | 415 N 8th Street, Olean, NY 14760-2237 | 2006-07-19 |
| 1205338613 | Beth Ann Porter | Nurse Practitioner | 515 Main St, Olean, NY 14760-1513 | 2018-03-01 |
| 1093184996 | Elizabeth J Kelterborn | Nurse Practitioner | 135 N Union St, Olean, NY 14760-2736 | 2015-09-21 |
| 1114299468 | Michele M Wooten | Nurse Practitioner | 528 N Barry St, Olean, NY 14760-2612 | 2012-02-02 |
| 1023003399 | Phyllis Christine Bessey | Nurse Practitioner | 535 Main St, Olean, NY 14760-1513 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235432 | Koli Eckert | Nurse Practitioner | 2455 77th St Fl 2, East Elmhurst, NY 11370-1525 | 2020-11-04 |
| 1134728942 | Angelyn Arielle Brown | Nurse Practitioner | 3332 Walden Ave Ste 1100, Depew, NY 14043-2400 | 2020-10-22 |
| 1871191056 | Natalie Larissa Cohen | Nurse Practitioner | 555 Laguardia Pl, New York, NY 10012-1402 | 2020-10-11 |
| 1841807799 | Raquel Shivanna Sookram | Nurse Practitioner | 5505 Myrtle Ave, Ridgewood, NY 11385-3550 | 2020-09-24 |
| 1154938264 | Haessal Kim | Nurse Practitioner | 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 | 2020-09-23 |
| 1235745282 | April Lynne Mott | Nurse Practitioner | 600 Ivy St Ste 108, Elmira, NY 14905-1627 | 2020-09-16 |
| 1407461676 | Kim Marie Neenan-reilly | Nurse Practitioner | 7200 Douglaston Pkwy, Main Floor, Douglaston, NY 11362-1941 | 2020-09-14 |
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1992316996 | Cassandra Dionne Saint-furcy | Nurse Practitioner | 6 Provenzano St, Inwood, NY 11096-1410 | 2020-08-12 |
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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.