NICOLE ESTRADA (NPI# 1093355802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093355802 |
| Entity Type | Individual |
| Full Name | NICOLE ESTRADA |
| Credential | CRPA |
| Practice Address |
7 Railroad Ave Middletown NY 10940-4907 |
| Practice Telephone | 8453425941 |
| Mailing Telephone | 8453425941 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 3717 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639728389 | Nicole Estrada | Case Manager/Care Coordinator | 11 Route 111, Smithtown, NY 11787-3754 | 2019-09-05 |
| 1063076990 | Nicole Estrada | Technician | 6128 W Sahara Ave, Las Vegas, NV 89146-3051 | 2019-04-25 |
| 1114428158 | Nicole D Estrada | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-02-26 |
| 1093073439 | Nicole Marie Estrada | Counselor | 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2012-04-23 |
| Street Address |
7 RAILROAD AVE |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851867030 | Jean Elizabeth Kellner | Registered Nurse | 7 Railroad Ave, Middletown, NY 10940-4907 | 2018-10-16 |
| 1629571252 | Christine Ford-huebsch | Counselor | 7 Railroad Ave, Middletown, NY 10940-4907 | 2018-03-09 |
| 1699297531 | Kevin Hammond | Counselor | 7 Railroad Ave, Middletown, NY 10940 | 2017-07-12 |
| 1992248165 | Tina Ithier | Counselor | 7 Railroad Ave, Middletown, NY 10940-4907 | 2016-11-21 |
| 1851847107 | Phyllis Lamoureux | Counselor | 7 Railroad Ave, Middletown, NY 10940-4907 | 2016-08-28 |
| 1174078265 | Caylin Rosenblum | Counselor | 7 Railroad Ave, Middletown, NY 10940-4907 | 2016-08-18 |
| 1407207590 | Lex Galarza | Counselor | 7 Railroad Ave, Middletown, NY 10940-4907 | 2016-06-29 |
| 1689025918 | Rachelle Sanborn | Counselor | 7 Railroad Ave, Middletown, NY 10940-4907 | 2016-06-28 |
| 1689025900 | William Gore | Counselor | 7 Railroad Ave, Middletown, NY 10940-4907 | 2016-06-28 |
| 1538510854 | Fawn Connelly | Counselor | 7 Railroad Ave, Middletown, NY 10940-4907 | 2016-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| 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 |
|---|---|---|---|---|
| 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 | MIDDLETOWN |
| Zip Code | 10940 |
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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.