MRS. AMANDA ELIZABETH MARIE (NPI# 1063985703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063985703 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA ELIZABETH MARIE |
| Practice Address |
24 Main St Mount Morris NY 14510-1006 |
| Practice Telephone | 5854053183 |
| Mailing Telephone | 5854053183 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
24 MAIN ST |
| City | MOUNT MORRIS |
| State | NY |
| Zip Code | 14510-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209613 | Jessica Desirae Gallicchio | Counselor | 24 Main St, Mount Morris, NY 14510-1006 | 2019-11-13 |
| 1003375692 | Emily Whaley | Counselor | 24 Main St, Mount Morris, NY 14510-1006 | 2019-03-14 |
| 1184183808 | Kayli Phillips | Counselor | 24 Main St, Mount Morris, NY 14510-1006 | 2019-03-13 |
| 1417412768 | Joshua Thomas Kelley | Counselor | 24 Main St, Mount Morris, NY 14510-1006 | 2019-01-31 |
| 1598229668 | Susan Bell | Behavior Technician | 24 Main St, Mount Morris, NY 14510-1006 | 2019-01-23 |
| 1326512559 | Felix Laneri | Counselor | 24 Main St, Mount Morris, NY 14510-1006 | 2019-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234823 | Betsy Jo Hill | Contractor | 2 Conkey St., Mt. Morris, NY 14510 | 2019-09-19 |
| 1992367981 | Livingston County Office for The Aging | Home Delivered Meals | 3 Murray Hill Drive, Mt. Morris, NY 14510 | 2019-07-01 |
| 1114417243 | Kelly Utley | Registered Nurse | 5071 Geneseo Mount Morris Road, Mount Morris, NY 14510 | 2018-05-15 |
| 1801196431 | Ann Louise Schinski | Registered Nurse | 2 Murray Hill, Mt. Morris, NY 14510 | 2010-10-29 |
| 1386957090 | Brenda Margaret Moore | Licensed Practical Nurse | 5502 St. Rt 36, #48, Mt Morris, NY 14510 | 2010-07-22 |
| 1215175765 | Adrienne A Delorm | Registered Nurse | 2 Murray Hill Drive, Mt.morris, NY 14510 | 2009-01-21 |
| 1508003328 | Sharon W Allen | Registered Nurse | Livingston County Campus, Bldg 2, Livingston County Health Dept, Mt. Morris, NY 14510 | 2009-01-15 |
| 1124263702 | Jerrilyn Rounsville | Registered Nurse | 2 County Campus, Murray Hill, Mt. Morris, NY 14510 | 2008-12-10 |
| 1245415488 | Noel A.t. Forrett | Pharmacist | 40 East State St, Rite Aid #1871, Mount Morris, NY 14510 | 2008-01-07 |
| 1598961955 | Claire Anne Wood | Registered Nurse | 2 Murry Hill Dr, Mt. Morris, NY 14510 | 2007-06-22 |
| Find all providers in zip 14510 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255824736 | Faylena Morris | Peer Specialist | 8212 N Jennings Rd, Mount Morris, MI 48458-8248 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385896 | Gary N/a Peluso | Peer Specialist | 62 Allan Dr, East Norwich, NY 11732-1203 | 2020-10-28 |
| 1043810138 | Ryan Hope Mcgovern | Peer Specialist | 950 S Oyster Bay Rd Bay Road, Hicksville, NY 11801-3510 | 2020-10-28 |
| 1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
| 1801409842 | Alexander Mannino | Peer Specialist | 419 Palisade Ave, Yonkers, NY 10703-2610 | 2020-08-28 |
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
| 1700404001 | Kathy Annett Gardini | Peer Specialist | 1914 Brookhaven Ave, Far Rockaway, NY 11691-3626 | 2020-07-13 |
| 1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
| 1174140545 | Mercedes Busby | Peer Specialist | 118 Brauncroft Ln, Amherst, NY 14226-4957 | 2020-07-01 |
| 1457977258 | Carla J Alomar | Peer Specialist | 414 Martin Rd, Lackawanna, NY 14218-2830 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT MORRIS |
| Zip Code | 14510 |
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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.