KATLYN ANN CONVILLE


Address: 75 N Country Rd, Port Jefferson, NY 11777-2119
Phone: 6316862565

KATLYN ANN CONVILLE (NPI# 1023679503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023679503
Entity Type Individual
Full Name KATLYN ANN CONVILLE
Credential NP
Practice Address 75 N Country Rd
Port Jefferson
NY 11777-2119
Practice Telephone 6316862565
Enumeration Date 2019-06-25
Last Update Date 2019-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
344632 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 75 N COUNTRY RD
City PORT JEFFERSON
State NY
Zip Code 11777-2119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093718728 John T. Mather Memorial Hospital Psychiatric Unit 75 N Country Rd, Port Jefferson, NY 11777-2119 2005-05-27
1124633169 Ewelina Mieczkowska Physician Assistant 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-09-15
1114546652 Kelly Miller Registered Nurse 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-04-14
1194344143 John Lotfi Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-04-10
1669001897 Robert Franklin Wilson Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-04-08
1245868611 Tia Bimal Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-03-31
1427686203 Aakash Babaria Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-03-29
1821626789 Anjali Kewalramani Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-03-27
1578190591 Joon Oh Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2190 2020-03-27
1871121848 Sonali Nanda Student in an Organized Health Care Education/Training Program 75 N Country Rd, Port Jefferson, NY 11777-2119 2020-03-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568088615 Aqsa Ashraf Student in an Organized Health Care Education/Training Program 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 2020-06-24
1366068975 Manal Ahmad Student in an Organized Health Care Education/Training Program 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 2020-06-19
1639794555 Umair Ahmad Ansari Student in an Organized Health Care Education/Training Program 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 2020-06-16
1578188132 Manasi Sule Student in an Organized Health Care Education/Training Program 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 2020-06-10
1508480716 Imona Subedi Student in an Organized Health Care Education/Training Program 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 2020-06-03
1184252108 Romana Imtiaz Syed Student in an Organized Health Care Education/Training Program Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 2020-03-27
1649807348 Mustafa Mohammed Abdulsada Student in an Organized Health Care Education/Training Program 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 2020-03-24
1184264764 Girma Moges Gamme Surgery 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 2020-01-10
1811554637 Kausar Ali Nurse Practitioner 408 Thompson Street, Port Jefferson, NY 11777 2019-05-28
1073097531 Ministry for Hope, Inc. Montfort Therapeutic Residence Residential Treatment Facility, Physical Disabilities 100 Stonyhill Road, Port Jefferson, NY 11777 2018-09-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609416940 Jacqueline J. Bishop Nurse Practitioner 200 Belle Terre Rd Ste 200, Port Jefferson, NY 11777-1928 2020-01-15
1942578968 Christopher Ljucovic Nurse Practitioner 620 Belle Terre Rd Ste 2, Port Jefferson, NY 11777-2500 2011-12-05
1770193096 Vanessa Lynn Uhr Nurse Practitioner 125 Oakland Ave Ste 203, Port Jefferson, NY 11777-2130 2020-08-02
1215495700 Staci Marie Clabough Nurse Practitioner 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1987 2019-03-04
1356807242 Justine Marie Schleiffelder Nurse Practitioner 75 N Country Rd, Port Jefferson, NY 11777-2190 2019-02-15
1659858744 Deanna Amber Spence Nurse Practitioner 120 N Country Rd, Port Jefferson, NY 11777-2604 2018-07-23
1598151151 Keri Michele Rolls Nurse Practitioner 75 N Country Rd, Port Jefferson, NY 11777-2119 2015-04-10
1295150050 Elizabeth Ann Cohen Nurse Practitioner 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 2014-03-03
1790095123 Renata J. Sterne Nurse Practitioner 75 N Country Rd, Port Jefferson, NY 11777-2119 2010-10-19
1417044066 John T. Mather Memorial Hospital Nurse Practitioner 75 N Country Rd, Port Jefferson, NY 11777-2119 2006-10-06
Find all providers in PORT JEFFERSON

Competitor

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City PORT JEFFERSON
Zip Code 11777

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Dataset Information

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.

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