CARLI R GAYNOR (NPI# 1013552777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013552777 |
| Entity Type | Individual |
| Full Name | CARLI R GAYNOR |
| Practice Address |
355 Jefferson St Simpson PA 18407-1213 |
| Mailing Address |
242 Hudson St Forest City PA 18421-1410 |
| Practice Telephone | 5706042838 |
| Mailing Telephone | 5706042838 |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2019-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
PA | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 3747A0650X | 05 |
| Street Address |
355 JEFFERSON ST |
| City | SIMPSON |
| State | PA |
| Zip Code | 18407-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477190056 | Cecelia Cortes | Technician | 355 Jefferson St, Simpson, PA 18407-1213 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761784 | Ashley Ettinger | Counselor | 38 North Scott Road, Carbondale, PA 18407 | 2020-02-12 |
| 1639723109 | Dana Marie Marmo | Counselor | 141 Salem Ave Suite 104, Carbondale, PA 18407 | 2019-08-01 |
| 1831694991 | William Vitzakovitch | Physical Therapist | 504 1/2 Scranton Carbondale Hwy, Mayfield, PA 18407 | 2018-03-29 |
| 1205345014 | The Young Men's Christian Association of Carbondale | Health Educator | 82 N Main Street, Carbondale, PA 18407 | 2017-09-25 |
| 1942722327 | Jamee Ruddy | Early Intervention Provider Agency | 77 Jefferson Street, Simpson, PA 18407 | 2017-07-07 |
| 1417181082 | Paul Erik Larson | Specialist/Technologist | 101 Brooklyn Street/business Route 6, Carbondale, PA 18407 | 2009-05-11 |
| 1316061708 | Christine Marie Roberts | Occupational Therapist | Carbondale Nursing Home, 10 Hart Place, Carbondale, PA 18407 | 2007-03-19 |
| 1407944036 | Brian John Piatak | Chiropractor | 30 N Scott Street, Carbondale, PA 18407 | 2006-10-10 |
| 1427556133 | Brianna Marie Bennici | Occupational Therapy Assistant | 45 N Scott St, Carbondale, PA 18407 | 2018-01-28 |
| 1144632332 | Dannielle S Hafler | Social Worker | 32 N Main St, Carbondale, PA 18407 | 2014-05-22 |
| Find all providers in zip 18407 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477190056 | Cecelia Cortes | Technician | 355 Jefferson St, Simpson, PA 18407-1213 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130460 | Raushanah Jenkins | Technician | 2726 Spear Ave, Glenside, PA 19038-2617 | 2020-10-01 |
| 1477160422 | Christine Ann Terese Pearce | Technician | 122 Cobblestone Dr, Gilbertsville, PA 19525-8843 | 2020-09-24 |
| 1316579212 | Fabien D Auguste | Technician | 261 Old York Rd Ste 703b, Jenkintown, PA 19046-3735 | 2020-02-07 |
| 1487294062 | Agnes Odelia Strang | Technician | 18 Angerer Rd, Canonsburg, PA 15317 | 2020-01-10 |
| 1154968014 | Brenda L Scott | Technician | 711 Spring Garden St Apt 614, Philadelphia, PA 19123-3515 | 2019-12-10 |
| 1093350175 | Ann Marie Gazey | Technician | 665 Waring St, Philadelphia, PA 19116-2043 | 2019-11-12 |
| 1932740537 | Janelle Doris Waller | Technician | 204 Kingston Dr., Pittsburgh, PA 15235 | 2019-10-04 |
| 1619518487 | Carmen Maria Carroll | Technician | 40 Herman St, Feasterville Trevose, PA 19053-2324 | 2019-10-03 |
| 1164063343 | Virginia Keohane | Technician | 355 Orchard Rd, Springfield, PA 19064-2318 | 2019-09-30 |
| 1215588421 | Susan Lee Hoffman | Technician | 16 Ridgeview Rd, Newtown Square, PA 19073-3002 | 2019-09-28 |
| 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.