MICHAEL WILLIAM DEFORREST (NPI# 1073096277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073096277 |
Entity Type | Individual |
Full Name | MICHAEL WILLIAM DEFORREST |
Credential | RN |
Practice Address |
146 North St Auburn NY 13021-3543 |
Practice Telephone | 3152530341 |
Practice Fax Number | 3152531077 |
Mailing Telephone | 3152530341 |
Mailing Fax Number | 3152531077 |
Enumeration Date | 2018-09-13 |
Last Update Date | 2018-09-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
720937 | NY | Nursing Service Providers |
Street Address |
146 NORTH ST |
City | AUBURN |
State | NY |
Zip Code | 13021-3543 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265408181 | Sandra Zambello | Nurse Practitioner | 146 North St, Auburn, NY 13021-1831 | 2006-02-28 |
1861009862 | Abigail N Kastick | Social Worker | 146 North St, Auburn, NY 13021-1831 | 2020-09-24 |
1669083606 | Julie Shaw | Social Worker | 146 North St, Auburn, NY 13021-1831 | 2020-08-13 |
1659930204 | Michelle Elaine Sloan | Social Worker | 146 North St, Auburn, NY 13021-1831 | 2019-06-07 |
1952967101 | Tanya Lutz | Social Worker | 146 North St, Auburn, NY 13021-1831 | 2019-05-14 |
1184109514 | Nicholas Granato | Social Worker | 146 North St, Auburn, NY 13021-1831 | 2018-10-02 |
1467900282 | Kerrie Catalino-carranti | Social Worker | 146 North St, Auburn, NY 13021-1831 | 2016-09-21 |
1013378827 | Amber L Shutter | Registered Nurse | 146 North St, Auburn, NY 13021-1831 | 2016-03-08 |
1073980157 | David Kegley | Social Worker | 146 North St, Auburn, NY 13021-1831 | 2015-08-25 |
1750762621 | Shelyagh Kennedy | Nurse Practitioner | 146 North St, Auburn, NY 13021-1831 | 2015-06-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821631078 | Anthony Marino | Counselor | 319 Water St, Syacuse, NY 13021 | 2019-10-21 |
1205343811 | Cayuga County Community Health Network, Inc. | Community/Behavioral Health | 2119 W Genesee Street Rd, Auburn, NY 13021 | 2018-01-04 |
1427570365 | Sara K Gatewood | Licensed Practical Nurse | 124 Dawson Ave, Auburn, NY 13021 | 2017-07-12 |
1407385867 | Trisha Lee South | Registered Nurse | 278 Seymour St, Auburn, NY 13021 | 2017-06-08 |
1093263782 | Elizabeth Michelle Smith | Licensed Practical Nurse | 64 Cottage Street, Auburn, NY 13021 | 2016-09-12 |
1710360649 | Podiatry Services of Central New York, PC | Podiatrist | 171 Grant Ave, Auburn, NY 13021 | 2015-07-09 |
1518361484 | Edward J Currier | Counselor | 34 Wright Ave, Auburn, NY 13021 | 2014-10-21 |
1821499815 | Betsi Algar | Licensed Practical Nurse | 22 Scammell Ave, Auburn, NY 13021 | 2014-09-09 |
1235554734 | Jodi Saurini | Licensed Practical Nurse | 31 Anderson Circle, Auburn, NY 13021 | 2014-02-20 |
1124459896 | Bridget Reilly | Clinic/Center | 210 South Hoopes Ave, Auburn, NY 13021 | 2013-12-06 |
Find all providers in zip 13021 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467740183 | Michael Smith | Registered Nurse | 10 Barton Ave, Auburn, ME 04210-6707 | 2011-07-15 |
1114033149 | Sarah Leah Blum | Registered Nurse | 303 O St Ne, Auburn, WA 98002-4645 | 2006-08-22 |
1093316796 | Jamie Dawn Bannister | Registered Nurse | 317 Turner St, Auburn, ME 04210-6038 | 2020-11-08 |
1386135895 | Manuel Miranda Lata Jr. | Registered Nurse | 505 29th St Se, Auburn, WA 98002-7541 | 2018-05-21 |
1568838829 | Janine Cade Torres | Registered Nurse | 2704 I St Ne, Auburn, WA 98002-2411 | 2015-08-20 |
1437594165 | Symone Larisa Edwards | Registered Nurse | 505 29th St Se, Chartley House, Auburn, WA 98002-7541 | 2013-05-08 |
1104197763 | Veerpall Kaur Gill | Registered Nurse | 505 29th St Se, Chartley House, Auburn, WA 98002-7541 | 2012-01-13 |
1679879191 | Mercy Mandac Lazo | Registered Nurse | 505 29th St Se, Chartley House, Auburn, WA 98002-7541 | 2011-01-31 |
1245433242 | Laura Lee Trevino | Registered Nurse | 505 29th St Se, Chartley House, Auburn, WA 98002-7541 | 2007-06-07 |
1699814921 | Sandra M Cain | Registered Nurse | 2704 I St Ne, Auburn, WA 98002-2411 | 2007-02-05 |
Find all providers in AUBURN |
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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.