MS. LISA ANNE COOLEEN (NPI# 1023270972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023270972 |
| Entity Type | Individual |
| Full Name | MS. LISA ANNE COOLEEN |
| Credential | N.P. |
| Practice Address |
4277 Hempstead Tpke Suite 102 Bethpage NY 11714-5709 |
| Mailing Address |
23 Whisper Ln Wantagh NY 11793-1231 |
| Practice Telephone | 5167315100 |
| Practice Fax Number | 5167313758 |
| Mailing Telephone | 5165207792 |
| Mailing Fax Number | 5167313758 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F420719 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4277 HEMPSTEAD TPKE SUITE 102 |
| City | BETHPAGE |
| State | NY |
| Zip Code | 11714-5709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083602320 | John R Thanus | Obstetrics & Gynecology | 4277 Hempstead Tpke, Suite 102, Bethpage, NY 11714-5709 | 2005-10-11 |
| 1467919100 | Kristen Tasch | Physical Therapist | 4277 Hempstead Tpke, Bethpage, NY 11714-5709 | 2019-03-01 |
| 1821519158 | Daniel P Haughney | Student in an Organized Health Care Education/Training Program | 4277 Hempstead Tpke, Bethpage, NY 11714-5709 | 2017-06-27 |
| 1649721606 | Elizabeth Massaro | Physical Therapy Assistant | 4277 Hempstead Tpke, Suite 209 A, Bethpage, NY 11714-5709 | 2016-10-14 |
| 1053868737 | Stephanie Rose Ringbauer | Physical Therapist | 4277 Hempstead Tpke, Suite 209 A, Bethpage, NY 11714-5709 | 2016-09-09 |
| 1184177768 | Jillian Epifania | Physical Therapist | 4277 Hempstead Tpke, Suite 209 A, Bethpage, NY 11714-5709 | 2016-07-29 |
| 1336594803 | Kimberly D. Murnane | Eyewear Supplier (Equipment, not the service) | 4277 Hempstead Tpke, Suite 109, Bethpage, NY 11714-5709 | 2016-05-03 |
| 1508258260 | Vincenzo Adduci Jr. | Physical Therapist | 4277 Hempstead Tpke, Ste 209a, Bethpage, NY 11714-5709 | 2015-03-04 |
| 1548520943 | Margaret M Magee | Massage Therapist | 4277 Hempstead Tpke, Suite 209, Bethpage, NY 11714 | 2012-05-21 |
| 1851681191 | Jennifer Mandell | Dermatology | 4277 Hempstead Tpke, Suite 206, Bethpage, NY 11714-5709 | 2011-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023466208 | Angelika Cataldo | Physician Assistant | 96 Farmers Ave, Bethpage, NY 11714 | 2016-05-30 |
| 1215390240 | Jessica Cohen Micciulli | Counselor | 1211 Stewart Ave., Suite 100, Bethpage, NY 11714 | 2016-03-29 |
| 1295119329 | Van Tu | Physician Assistant | 72 Roosevelt Dr, Bethpage, NY 11714 | 2015-07-18 |
| 1124400072 | Nicole Simon | Speech-Language Pathologist | 28 Lee Avenue, Bethpage, NY 11714 | 2015-06-26 |
| 1083001556 | Gagandeep Sharma | Podiatrist | 255 Stewart Ave, Bethpage, NY 11714 | 2015-04-22 |
| 1245631399 | All About Kids | Local Education Agency (LEA) | 152 Sycamore Avenue, Bethpage, NY 11714 | 2014-09-09 |
| 1568871440 | Christina Healy | Home Health Aide | 49 West Millpage Drive, Bethpage, NY 11714 | 2014-08-05 |
| 1225444656 | Ryan Vincent Costello | Registered Nurse | 68 S. 2nd St., Apt A, Bethpage, NY 11714 | 2014-07-07 |
| 1598195125 | Lori-ann Perez | Case Manager/Care Coordinator | 18 Ellen Street, Bethpage, NY 11714 | 2013-11-18 |
| 1306195482 | Lisa Kozlowsky | Behavioral Analyst | 420 Kensington Lane, Bethpage, NY 11714 | 2012-09-05 |
| Find all providers in zip 11714 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811459498 | Francesca Mary Brzyski | Nurse Practitioner | 4230 Hempstead Tpke Ste 208, Bethpage, NY 11714-5700 | 2019-04-03 |
| 1821508730 | Salina M Cascino | Nurse Practitioner | 4230 Hempstead Tpke Ste 208, Bethpage, NY 11714-5700 | 2017-10-05 |
| 1609324839 | Stephanie Madigan | Nurse Practitioner | 4230 Hempstead Tpke, Ste 208, Bethpage, NY 11714-5700 | 2016-09-16 |
| 1225197866 | Jacqueline Pandolfi | Nurse Practitioner | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 | 2006-12-08 |
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|---|---|---|---|---|
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| 1073127544 | Stacy E Garrity | Nurse Practitioner | 453 W Broadway, New York, NY 10012 | 2020-09-02 |
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| 1417567942 | Amanpreet Karir | Nurse Practitioner | 1305 York Ave Ste 6, New York, NY 10021-5663 | 2020-08-10 |
| 1700495249 | Jessica Bobadilla | Nurse Practitioner | 9960 63rd Rd Apt 11w, Rego Park, NY 11374-1925 | 2020-07-30 |
| 1144844812 | Charlene Santos-alvarez | Nurse Practitioner | 8450 169th St Apt 502, Jamaica, NY 11432-2018 | 2020-05-29 |
| 1346863610 | Maria Furman | Nurse Practitioner | 130 E 93rd St Apt 5d, New York, NY 10128-1624 | 2020-05-21 |
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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.