MRS. SHADAE KEILIA KLECKLEY (NPI# 1023659703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023659703 |
Entity Type | Individual |
Full Name | MRS. SHADAE KEILIA KLECKLEY |
Practice Address |
19 Dixwell Road New City NY 10956 |
Practice Telephone | 9175655207 |
Mailing Telephone | 9175655207 |
Enumeration Date | 2019-10-03 |
Last Update Date | 2019-10-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
Street Address |
19 DIXWELL ROAD |
City | NEW CITY |
State | NY |
Zip Code | 10956 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326518911 | Jenna Marie Rogoff | Occupational Therapy Assistant | 254 S Main Street Suite 400, New City, NY 10956 | 2018-11-27 |
1326515065 | Dynamic Dental Arts of Rockland Pllc | Dentist | 345 North Main St. Ste. 5, New City, NY 10956 | 2018-10-31 |
1760981062 | Alyssa Rothschild Taxin | Nutritionist | 18 Snowdrop Drive, New City, NY 10956 | 2018-02-02 |
1245738103 | Martin A Petersel | Counselor | 3 Rexal Court, New City, NY 10956 | 2018-01-25 |
1831601475 | Carissa Aurellano | Occupational Therapist | 873 Rte 45 Ste 102, New City, NY 10956 | 2017-11-03 |
1376064055 | Evelyn Ringel | Specialist | 14 Concord Drive, New City, New City, NY 10956 | 2017-07-03 |
1720517089 | Orlee Elizabeth Krass | Specialist | 2, Woodland Road, New City, NY 10956 | 2017-06-08 |
1639617293 | Ann Damiani Orlando | Registered Nurse | 32 Twin Elms Lane, New City, NY 10956 | 2017-02-03 |
1225496300 | Timber Counseling Corp. | Community/Behavioral Health | 115 North Main Street, New City, NY 10956 | 2016-02-04 |
1588029854 | Michael Farsetta | Pharmacist | 2 Courtney Drive, New City, NY 10956 | 2015-12-30 |
Find all providers in zip 10956 |
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 |
---|---|---|---|---|
1649885666 | Carole Jane Pelaia | Technician | 100 Forrestal Hts, Beacon, NY 12508-3733 | 2020-09-15 |
1194340950 | Barbara Dore Russell | Technician | 43 Hillsboro Dr, Orchard Park, NY 14127-3433 | 2020-06-08 |
1316560105 | Baw Su | Technician | 341 Oliver St, N Tonawanda, NY 14120-7227 | 2020-05-27 |
1255953782 | Tina Marie Loucks | Technician | 6294 Fulford Hill Rd, Bath, NY 14810-8156 | 2020-05-06 |
1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
1891324240 | Crystal Lynn Booth | Technician | 5510 Fortuna Pkwy, Clay, NY 13041-8929 | 2020-04-07 |
1366076788 | Patricia Metznik Garcia | Technician | 1660 S Ivy Trl, Baldwinsville, NY 13027-9051 | 2020-02-25 |
1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
1588204317 | Jeanie L Phillips | Technician | 1837 Us Highway 11 Lot 34, Marathon, NY 13803-2360 | 2020-01-09 |
1568001972 | William B Love | Technician | 2050 Frederick Douglas Blvd #2-10, New York, NY 10026-3236 | 2020-01-02 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MRS. SHADAE KEILIA KLECKLEY.
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.