KRISTIN OLIVER


Address: 580 Dr Knapp Rd N, Newark Valley, NY 13811-3410
Phone: 6077254739

KRISTIN OLIVER (NPI# 1013423292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013423292
Entity Type Individual
Full Name KRISTIN OLIVER
Other Name KRISTIN LYNN SHADY
Credential LMHC
Practice Address 580 Dr Knapp Rd N
Newark Valley
NY 13811-3410
Practice Telephone 6077254739
Mailing Telephone 6077254739
Enumeration Date 2017-12-24
Last Update Date 2017-12-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
007468 NY Behavioral Health & Social Service Providers

Other Providers KRISTIN OLIVER

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1700172517 Kristin Oliver Licensed Practical Nurse 1719 6th Ave W, Shakopee, MN 55379-2007 2011-06-21
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1922116763 Kristin Suzanne Oliver Family Medicine 17300 North Outer 40 Rd Ste 201, Chesterfield, MO 63005-1364 2006-08-29
1114388378 Kristin Oliver Nurse Practitioner 18 Riverbend Dr Sw, Suite 100, Rome, GA 30161-6013 2016-03-16
1366881906 Kristin Michelle Oliver Dentist 601 N 21st St, Ozark, MO 65721-9184 2013-06-17
1144518630 Kristin Marie Oliver Nurse Practitioner 5000 Waterdam Plaza Dr, Ste 180, Mc Murray, PA 15317-5412 2011-07-18
1881853497 Kristin Mary Wilson Oliver Pediatrics 1 Gustave L Levy Pl, Box 1043, New York, NY 10029-6504 2008-06-09

Office Location

Street Address 580 DR KNAPP RD N
City NEWARK VALLEY
State NY
Zip Code 13811-3410

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720251309 Tamara Ann Onofrio Social Worker 12 Silk Street, Newark Valley, NY 13811 2008-04-04
1376725069 John Vavra Pharmacist 21 North Main St., Newark Valley, NY 13811 2007-12-04
1851388102 Sharlene M Kinney Family Medicine 786 Whig St, Newark Valley, NY 13811 2005-10-03
1083714430 Eckerd Corporation Durable Medical Equipment & Medical Supplies 21 North Main Street, Newark Valley, NY 13811 2006-09-25
1992845085 Berkshire Emergency Squad Inc Ambulance 9 Park Street, Suite C, Newark Valley, NY 13811-0506 2007-02-07
1780730861 Newark Valley C.s.d. Local Education Agency (LEA) 77 Whig Street, Box 547, Newark Valley, NY 13811-0547 2007-01-25
1316413941 Melanie E Wheeler Occupational Therapist 5970 W Creek Rd, Newark Valley, NY 13811-1404 2018-10-22
1225364276 Marsha M Dean Speech-Language Pathologist 86 Whig St, Newark Valley, NY 13811-2421 2009-10-27
1760645410 Elizabeth Lana Ann Feringa Licensed Practical Nurse 62 Whig St, Newark Valley, NY 13811-2421 2008-07-02
1275664690 Amy Lord Nurse Practitioner 119 Whig St, Newark Valley, NY 13811-2423 2007-03-08
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEWARK VALLEY
Zip Code 13811

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Dataset Information

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.

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