THERESA MARIE CLEARWATER


Address: 1200 Route 300, Newburgh, NY 12550-5003
Phone: 8457036999

THERESA MARIE CLEARWATER (NPI# 1104207893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104207893
Entity Type Individual
Full Name THERESA MARIE CLEARWATER
Credential FNP
Practice Address 1200 Route 300
Newburgh
NY 12550-5003
Mailing Address 155 Crystal Run Rd
Middletown
NY 10941-4028
Practice Telephone 8457036999
Practice Fax Number 8457036297
Mailing Telephone 8457036999
Mailing Fax Number 8457036297
Enumeration Date 2015-06-18
Last Update Date 2020-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F339710-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 ROUTE 300
City NEWBURGH
State NY
Zip Code 12550-5003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316917990 Eileen Gayle Bogursky Obstetrics & Gynecology 1200 Route 300, Newburgh, NY 12550-5003 2006-01-25
1649894338 Alexis Nicole Manz Physician Assistant 1200 Route 300, Newburgh, NY 12550-5003 2020-05-29
1134643075 Michelle Newell-whitney Nurse Practitioner 1200 Route 300, Newburgh, NY 12550-5003 2017-08-02
1831610369 Mandi L. Zaccagnino Nurse Practitioner 1200 Route 300, Newburgh, NY 12550-5003 2017-07-06
1790137743 Tiffanie R. Santos Pediatrics 1200 Route 300, Newburgh, NY 12550-5003 2016-07-01
1356796312 Megan Elizabeth Kaknis Internal Medicine 1200 Route 300, Newburgh, NY 12550-5003 2016-04-27
1053780403 Crystal Run Healthcare Physicians LLP Durable Medical Equipment & Medical Supplies 1200 Route 300, Newburgh, NY 12550-5003 2015-09-16
1063807980 Sebastian Salvatore Demarco Dermatology 1200 Route 300, Newburgh, NY 12550-5003 2015-03-30
1871993642 Veronica Ferencz Surgery 1200 Route 300, Crystal Run Healthcare- Breast Surgery, Newburgh, NY 12550 2014-08-29
1174962971 Bernadette Sikes Wood Internal Medicine 1200 Route 300, Newburgh, NY 12550-5003 2013-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154986057 Jennifer Lauren Steckenrider Optometrist 1201 Ny-300, Newburgh, NY 12550 2019-05-06
1386103125 Dorian Kim Shann Physical Therapist 53 Ny-17k Suite 2, Newburgh, NY 12550 2019-03-19
1083186100 Kimberly Ellen Vondras Registered Nurse 21-23 Grand Street, Newburgh, NY 12550 2018-12-31
1487144887 Jenna Gaudio Dentist 1413 Union Ave, Newburgh, NY 12550 2018-05-11
1215431119 Diane Gonzales Counselor 3 Commercial Place, Newburgh, NY 12550 2018-03-23
1386148740 Cvs Albany LLC Pharmacy 203 South Plank Rd, Newburgh, NY 12550 2018-03-21
1063939510 Paula A. Coloni Social Worker One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 2017-08-25
1306362652 Richard Malvey Counselor 172 Liberty Street, Newburgh, NY 12550 2017-08-18
1770008559 Walgreen Co Pharmacy 59 N Plank Rd Ste 2, Newburgh, NY 12550 2017-08-14
1639691017 Danielle Elizabeth Ingrassia Behavioral Analyst 8 Crestwood Ct., Newburgh, NY 12550 2017-07-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346853413 Heather Nicole Dickerson Nurse Practitioner 8211 W State Route 66 Ste A, Newburgh, IN 47630-2534 2020-08-28
1265064380 Debra Winkler Nurse Practitioner 4199 Gateway Blvd Ste 2300, Newburgh, IN 47630-8966 2020-02-06
1043863715 Lajuan Bethune Booker Np In Family Health P.C. Nurse Practitioner 24 Knights Cir, Newburgh, NY 12550-2422 2019-07-22
1477039733 Christian Jose Plaza Nurse Practitioner 407 Gidney Ave Ste B, Newburgh, NY 12550-3741 2018-07-19
1801319256 Audra M Douglas Nurse Practitioner 100 St Marys Epworth Xing Ste A100, Newburgh, IN 47630-9694 2017-07-18
1336676444 Amy Lowe Nurse Practitioner 100 St Marys Epworth Xing Ste A200, Newburgh, IN 47630-9695 2017-05-19
1497297808 Joy Lariviere Nurse Practitioner 407b Gidney Ave, Newburgh, NY 12550-3702 2016-11-16
1952851339 Kaye Lucas Saludares Nurse Practitioner 44 Ramblewood Dr, Newburgh, NY 12550-8784 2016-10-10
1730562679 Sofya Sinelnikov Nurse Practitioner 425 Robinson Ave Ste 1, Newburgh, NY 12550-3303 2015-07-08
1265847495 Krystal Thurman Wright Nurse Practitioner 8211w State Route 66 A, Newburgh, IN 47630-2534 2014-06-26
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Competitor

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City NEWBURGH
Zip Code 12550

Improve Information

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Dataset Information

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.

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