MS. AMY JO THORBAHN (NPI# 1023354099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023354099 |
| Entity Type | Individual |
| Full Name | MS. AMY JO THORBAHN |
| Credential | RN,BSN |
| Practice Address |
28 William St Gouverneur NY 13642-1405 |
| Practice Telephone | 3152872811 |
| Practice Fax Number | 3152874743 |
| Mailing Telephone | 3152872811 |
| Mailing Fax Number | 3152874743 |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
490265 - 1 | NY | Nursing Service Providers |
| Street Address |
28 WILLIAM ST |
| City | GOUVERNEUR |
| State | NY |
| Zip Code | 13642-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528388014 | Cynthia T Sherman | Counselor | 28 William St, Gouverneur Mental Health, Gouverneur, NY 13642-1405 | 2010-06-07 |
| 1083264857 | Denise Marie Herheim | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2019-09-13 |
| 1316499478 | Carrie Lynn Whitford | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2016-10-25 |
| 1215488382 | Alex Dickinson | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2016-10-24 |
| 1780135749 | St. Lawrence Psychiatric Center | Community/Behavioral Health | 28 William St, Gouverneur, NY 13642-1405 | 2016-10-14 |
| 1063861771 | Paula Williams | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2016-06-03 |
| 1336527373 | Sharon Macdonald | Licensed Practical Nurse | 28 William St, Gouverneur, NY 13642-1405 | 2015-05-11 |
| 1215346200 | Dara Lee Wurzburg | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2014-08-05 |
| 1700217759 | Emily Marie Kuntz | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2013-12-02 |
| 1558798009 | Christina Harman | Registered Nurse | 28 William St, Gouverneur, NY 13642-1405 | 2013-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730737933 | Heather Miller | Technician | 52 Cambray St, Gouverneur, NY 13642 | 2019-08-30 |
| 1295184554 | Payam Hadian | Family Medicine | 77 W Barney Street, Family Practice, Gouverneur, NY 13642 | 2016-06-08 |
| 1447484894 | Danny Len Holmes | Licensed Practical Nurse | 289 County Route #11, Gouverneur, NY 13642 | 2009-05-13 |
| 1235386657 | Alexander Edward Kuehl | Emergency Medicine | 95 Rock Island, Gouverneur, NY 13642 | 2008-08-27 |
| 1639228083 | Michael F Lapierre Pt | Physical Therapist | 173 East Main Street, Gouverneur, NY 13642 | 2007-01-08 |
| 1386748416 | Abdur R Jalazai Md PC | Internal Medicine | 63 West Barney St, Gouverneur, NY 13642 | 2006-09-11 |
| 1023052966 | Donell Jean Wright | Chiropractor | 137 E. Main Street, Suite 5, Gouverneur, NY 13642 | 2006-06-14 |
| 1699771295 | Teresa V Dombek-lang | Family Medicine | 77 W. Barney St., Gouverneur, NY 13642 | 2005-06-28 |
| 1295156412 | Gouverneur Hospital | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642 | 2013-12-16 |
| 1629409925 | Gouverneur Hospital | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642 | 2013-12-12 |
| Find all providers in zip 13642 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558798009 | Christina Harman | Registered Nurse | 28 William St, Gouverneur, NY 13642-1405 | 2013-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665082 | Lisa M Grolling | Registered Nurse | 91 Butcher Rd, Hilton, NY 14468-9706 | 2020-09-28 |
| 1811514565 | Marie Andree Dorce | Registered Nurse | 7214 Bergen Cv, Brooklyn, NY 11234-7100 | 2020-06-29 |
| 1497384648 | Monica Mena | Registered Nurse | 88 Jean Ave, Hempstead, NY 11550-6325 | 2020-04-08 |
| 1609410406 | Marva Pow | Registered Nurse | 3644 Harper Ave, Bronx, NY 10466-5907 | 2019-11-05 |
| 1730720699 | Mary Kay A Gibbons | Registered Nurse | 1 Beach 105 Street, 12f, Rockaway Park, NY 11694 | 2019-10-02 |
| 1356800601 | Karene Ortensa Blake | Registered Nurse | 1584 Kenneth Ave, North Baldwin, NY 11510-1659 | 2019-03-17 |
| 1275099491 | Eunhee Kim | Registered Nurse | 105 Echo Ave, Miller Place, NY 11764-2205 | 2019-02-12 |
| 1487122180 | Penny Ann Bloom | Registered Nurse | 188 Clearwater Cir, Rochester, NY 14612-3081 | 2018-11-12 |
| 1952884900 | Annette Novena | Registered Nurse | 1007 E 57th St, Brooklyn, NY 11234-2507 | 2018-09-14 |
| 1316428022 | Quiera Decosta | Registered Nurse | 632 Wilson Ave, Brooklyn, NY 11207-1577 | 2018-08-22 |
| Find all providers with the same taxonomy | ||||
| City | GOUVERNEUR |
| Zip Code | 13642 |
Please comment or provide details below to improve the information on MS. AMY JO THORBAHN.
| 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.