MISS JELISA KIMBERLY DOPWELL (NPI# 1093373490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093373490 |
| Entity Type | Individual |
| Full Name | MISS JELISA KIMBERLY DOPWELL |
| Credential | NP |
| Practice Address |
7136 110th St Spc 1 Forest Hills NY 11375-4850 |
| Mailing Address |
36 Wellington Rd Elmont NY 11003-1414 |
| Practice Telephone | 2127578686 |
| Mailing Telephone | 5167136805 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308776 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7136 110TH ST SPC 1 |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-4850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005318 | Mariya Siyanova | Nurse Practitioner | 10719 70th Ave Apt 110, Forest Hills, NY 11375-4315 | 2020-05-18 |
| 1720625551 | Shana Kathleen White-mcguire | Nurse Practitioner | 11050 71st Rd Ste 1b, Forest Hills, NY 11375-4929 | 2019-11-27 |
| 1427516087 | Austin Evangelista | Nurse Practitioner | 10708 Jewel Ave Apt 8, Forest Hills, NY 11375-4344 | 2019-03-03 |
| 1083164388 | Christine Margaret Moronta | Nurse Practitioner | 108-49 63 Ave Apt 2a, Forest Hills, NY 11375 | 2016-10-11 |
| 1275993453 | Gina Mikhaylov | Nurse Practitioner | 10828 65th Rd, Forest Hills, NY 11375-1843 | 2016-03-01 |
| 1801278106 | Yelena Ilyasova | Nurse Practitioner | 10245 62nd Rd Apt 7b, Forest Hills, NY 11375-1028 | 2015-06-23 |
| 1699177600 | Natalya Pozina | Nurse Practitioner | 11247 Queens Blvd Ste 206, Forest Hills, NY 11375-7421 | 2014-09-22 |
| 1700161569 | Sarah Y Nowlin | Nurse Practitioner | 7136 110th St Ste Sp1, Forest Hills, NY 11375-4873 | 2011-10-12 |
| 1851456172 | Mary Ann Snow | Nurse Practitioner | 10201 66 Raod, North Shore Long Island Jewish Health System, Forest Hills, NY 11375 | 2006-12-27 |
| 1366501538 | Magalie Raphael | Nurse Practitioner | North Shore University Hospital At Forest Hills, Forest Hills, NY 11375 | 2006-12-06 |
| Find all providers in FOREST HILLS | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
Please comment or provide details below to improve the information on MISS JELISA KIMBERLY DOPWELL.
| 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.