MRS. CHRISTINE MARIE WALL (NPI# 1003976481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003976481 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTINE MARIE WALL |
| Credential | RN |
| Practice Address |
29 Pagnotta Dr Port Jefferson Station NY 11776-4454 |
| Practice Telephone | 6318282905 |
| Mailing Telephone | 6318282905 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
528246-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02521699 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225506405 | Christine Joyce Wall | Speech-Language Pathologist | 6270 Worcester Hwy, Newark, MD 21841-2224 | 2018-11-06 |
| 1760620298 | Christine Ann Wall | Registered Nurse | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2009-01-21 |
| Street Address |
29 PAGNOTTA DR |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801375639 | Denise Squillante | Registered Nurse | 81 Ontario St, Port Jefferson Station, NY 11776-4348 | 2018-08-13 |
| 1114291937 | Suzette Mariano | Registered Nurse | 20 Hewes St, Port Jefferson Station, NY 11776-4004 | 2012-02-24 |
| 1942577747 | Melissa Lynn | Registered Nurse | 42 Morgan Ave, Port Jefferson Station, NY 11776-2103 | 2011-11-21 |
| 1811144256 | Dianne Munz | Registered Nurse | 93 Hickory St, Port Jefferson Station, NY 11776-2117 | 2008-08-27 |
| 1760648638 | Joanne Zaino | Registered Nurse | 16 Ontario St, Port Jefferson Station, NY 11776-4318 | 2008-07-31 |
| 1023224649 | John C Fuhr | Registered Nurse | 48 Joline Rd, Port Jefferson Station, NY 11776-3306 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192575 | Deni L Lobrutto | Registered Nurse | 80 Park Ln, Grand Island, NY 14072-3340 | 2020-10-22 |
| 1386243079 | Melanie Yap | Registered Nurse | 5334 206th St, Oakland Gardens, NY 11364-1714 | 2020-10-22 |
| 1932707155 | Nurselance Health LLC | Registered Nurse | 1044 E 105th St, Brooklyn, NY 11236-3002 | 2020-10-09 |
| 1487260063 | Mei Ling Gilbert | Registered Nurse | 10 Woodside Ave, Elmsford, NY 10523-2810 | 2020-09-19 |
| 1164037180 | Elizabeth Ann Primiano | Registered Nurse | 394 Ocean Ave, Massapequa, NY 11758-5228 | 2020-09-15 |
| 1508471236 | Samantha Kate Saraceno | Registered Nurse | 107 Rumbold Ave, North Tonawanda, NY 14120-4623 | 2020-09-10 |
| 1831703826 | Lateisha Freeman | Registered Nurse | 1 Cross Island Plz Ste 210, Rosedale, NY 11422-1456 | 2020-09-07 |
| 1891307658 | Jessica Ruggiero | Registered Nurse | 59 Rose St, Hastings On Hudson, NY 10706-3410 | 2020-08-21 |
| 1245842053 | Mary Reiner | Registered Nurse | 16 Harold St, Nanuet, NY 10954-3733 | 2020-08-21 |
| 1982221164 | Rebecca Armbrust | Registered Nurse | 225 Hilltop Dr, Elma, NY 14059-9412 | 2020-07-03 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
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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.