NICOLE PERRY (NPI# 1023449600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023449600 |
| Entity Type | Individual |
| Full Name | NICOLE PERRY |
| Practice Address |
400 Lake Ave Staten Island NY 10303-2629 |
| Practice Telephone | 7188163477 |
| Mailing Telephone | 7188163477 |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053758516 | Nicole Kristen Perry | Pediatrics | 330 23rd Ave N Ste 550, Nashville, TN 37203-1706 | 2013-05-23 |
| 1558666537 | Nicole Lynn Perry | Chiropractor | 14119 Q St, Omaha, NE 68137-2600 | 2011-01-21 |
| 1801899901 | Nicole Suzette Perry | Obstetrics & Gynecology | 100 Town Center Rd S, Ste B, Mooresville, IN 46158-2321 | 2005-05-23 |
| 1548861495 | Nicole Perry | Technician | 652 Main St, Barboursville, WV 25504-1439 | 2020-11-06 |
| 1982188108 | Nicole P Perry | Psychologist | 214 S Main St Ste 206, Ann Arbor, MI 48104-2122 | 2018-09-24 |
| 1053829739 | Nicole A Perry | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2018-01-17 |
| 1144691205 | Nicole Perry | Occupational Therapist | 40 Airport Road, Lakewood, NJ 08701 | 2015-10-15 |
| 1083006563 | Nicole Perry | Counselor | 40 N Broadway St, Coal City, IL 60416-1688 | 2015-02-20 |
| 1013332907 | Nicole Perry | Case Manager/Care Coordinator | 386 Stanley St, Fall River, MA 02720-6009 | 2014-02-28 |
| 1710236286 | Nicole Perry | Speech-Language Pathologist | 120 N Commerce Ave, Front Royal, VA 22630-2660 | 2012-08-30 |
| Street Address |
400 LAKE AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10303-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620394 | Milady Alejandra Zepeda | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2696 | 2020-02-12 |
| 1457992067 | Taylor Christy Igneri | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2696 | 2019-10-04 |
| 1255819884 | Angelica Garcia | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2629 | 2018-08-06 |
| 1932574449 | Stacey Smith | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2629 | 2015-12-09 |
| 1225435373 | Lisa C Blackwell | Case Management | 400 Lake Ave, Staten Island, NY 10303-2629 | 2014-12-04 |
| 1780091769 | Visiting Nurses Association | Case Management | 400 Lake Ave, Staten Island, NY 10303-2629 | 2014-07-22 |
| 1073944757 | Elsie Dejesus | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2629 | 2013-12-06 |
| 1720419401 | Michael David Geller | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2629 | 2013-12-06 |
| 1730514753 | Shawn M Richardson | Case Management | 400 Lake Ave, Staten Island, NY 10303-2629 | 2013-09-10 |
| 1124464367 | Lateema Nashae Quick | Early Intervention Provider Agency | 400 Lake Ave, Staten Island, NY 10303-2629 | 2013-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114580297 | Krisiya Ilianna Deschamps-perez | Registered Nurse | 12 Kinsey Pl, Staten Island, NY 10303 | 2019-04-15 |
| 1376057398 | Vine Gate Inc. | Case Management | 42 Amity Pl, Staten Island, NY 10303 | 2017-11-29 |
| 1396289815 | Lateefat Onitiri | Licensed Practical Nurse | 21 Wright Avenue, Staten Island, NY 10303 | 2016-12-19 |
| 1922466101 | Lydia Ogaja | Registered Nurse | 176 B Netherland Avenue, Staten Island, NY 10303 | 2016-02-03 |
| 1679994594 | Sibi Abraham | Physical Therapist | 2324 Forest Ave Ny, Staten Island, NY 10303 | 2013-12-18 |
| 1750633442 | Geraldine Gamboa | Physical Therapist | 939 Goethals Road North, Unit 1, Staten Island, NY 10303 | 2012-10-05 |
| 1710235635 | Michael J. Tighe | Specialist | 400 Lake Avenue, Visiting Nurse Association, Staten Island, NY 10303 | 2012-08-27 |
| 1710232798 | Funmilola Azeezat Kolawole | Licensed Practical Nurse | 85 Lockman Av, Staten Island, NY 10303 | 2012-07-17 |
| 1396013520 | Destiny Rodriguez | Interpreter | 35 Holland Ave. Apt. 8c, Staten Island, NY 10303 | 2011-12-02 |
| 1497043756 | Margaret Ultra Home Care Inc. | Licensed Practical Nurse | 271b Maple Parkway, Staten Island, NY 10303 | 2011-07-20 |
| Find all providers in zip 10303 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797091 | Yuliya Levakova | Case Manager/Care Coordinator | 146 Macfarland Ave, Staten Island, NY 10305-4448 | 2020-10-10 |
| 1215553987 | Rachel Marita Hurley | Case Manager/Care Coordinator | 777 Seaview Ave # Bulding9, Staten Island, NY 10305-3409 | 2020-06-18 |
| 1154953958 | Pak Ling Cheung | Case Manager/Care Coordinator | 165 Alter Ave, Staten Island, NY 10304-3923 | 2020-02-10 |
| 1487297362 | Queen Monique Simmons | Case Manager/Care Coordinator | 777 Seaview Ave Bldg 9, Staten Island, NY 10305-3409 | 2019-10-23 |
| 1033770219 | Jazmin Diaz | Case Manager/Care Coordinator | 226 Netherland Ave, Staten Island, NY 10303-2211 | 2019-06-27 |
| 1114584620 | Keishla Marie Davila | Case Manager/Care Coordinator | 385 Oakdale St, Staten Island, NY 10312-5041 | 2019-05-21 |
| 1558841387 | Kristin Michele Cartusciello | Case Manager/Care Coordinator | 358 Saint Marks Pl Fl 3, Staten Island, NY 10301-2417 | 2018-08-21 |
| 1164900346 | Nicole Lynette Fenton | Case Manager/Care Coordinator | 135 Corson Ave, Staten Island, NY 10301-2933 | 2018-07-31 |
| 1124519285 | Sherry Snyder | Case Manager/Care Coordinator | 2707 Hylan Blvd, Staten Island, NY 10306-4657 | 2018-05-24 |
| 1306352042 | Chanel Pranckevicus | Case Manager/Care Coordinator | 29 Warren St Apt 8k, Staten Island, NY 10304-2537 | 2017-12-18 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10303 |
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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.