ANDROMEDA RAINDANCE (NPI# 1033557640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033557640 |
| Entity Type | Individual |
| Full Name | ANDROMEDA RAINDANCE |
| Practice Address |
105 Cottontail Lane Woodstock NY 12498 |
| Practice Telephone | 8453327884 |
| Mailing Telephone | 8453327884 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 283728 | NY | Nursing Service Providers |
| Street Address |
105 COTTONTAIL LANE |
| City | WOODSTOCK |
| State | NY |
| Zip Code | 12498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659822849 | Michael V. Motise-pacier | Nurse Practitioner | 272 Yerry Hill Rd, Woodstock, NY 12498 | 2016-10-22 |
| 1194148510 | Valerie Linet | Social Worker | 15 Pine Grove Street, Woodstock Therapy Center, Woodstock, NY 12498 | 2014-01-22 |
| 1508135492 | Marcia Darrelee Panza | Registered Nurse | 8 West Hurley Rjoad, Woodstock, NY 12498 | 2011-12-21 |
| 1992934400 | Donn J. Wiedershine, M.d., P.C. | Family Medicine | 62 Ricks Road, Woodstock, NY 12498 | 2009-07-06 |
| 1689876104 | Nikki Goldbeck | Nutritionist | 2585 Route 212, Woodstock, NY 12498 | 2007-06-05 |
| 1538377122 | Michael Tischler | Dentist | 121 Route 375, Woodstock, NY 12498 | 2007-05-18 |
| 1669576054 | Catskill Mountain Physical Therapy P.C. | Physical Therapist | 319 Maverick Rd, Glenfdord, NY 12498 | 2006-09-07 |
| 1407889546 | Vivian Letizia | Dentist | 2 Maverick Rd, Woodstock, NY 12498 | 2006-07-09 |
| 1457305088 | Nancy Abrams | Psychologist | 15 Pinegrove Street, Woodstock, NY 12498 | 2006-05-19 |
| 1891765244 | Maverick Family Medical, PC | Family Medicine | 404 Zena Rd, Woodstock, NY 12498 | 2006-01-26 |
| Find all providers in zip 12498 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285179648 | Peter Ssempaka | Licensed Practical Nurse | 2111 Willow Brooke Dr Apt 1a, Woodstock, IL 60098-5264 | 2016-12-21 |
| 1124178371 | Kelly Rae Conti | Licensed Practical Nurse | 67 Ohayo Mountain Rd, Woodstock, NY 12498-1441 | 2007-01-11 |
| 1225202492 | Shelly A Bauer | Licensed Practical Nurse | 3707 Doty Rd Ste G, Woodstock, IL 60098 | 2008-04-17 |
| 1881881712 | Cheryl L Glombicki | Licensed Practical Nurse | 3707 Doty Rd Ste G, Woodstock, IL 60098 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.