SOUTH STREET HEALTH SERVICES FAMILY HEALTH AND PSYCHIATRY NPS PLLC (NPI# 1104442458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104442458 |
| Entity Type | Organization |
| Organization Name | SOUTH STREET HEALTH SERVICES FAMILY HEALTH AND PSYCHIATRY NPS PLLC |
| Practice Address |
8-12 South Street Lockport NY 14094-1409 |
| Mailing Address |
17 Kingston Cir Lockport NY 14094-5606 |
| Practice Telephone | 7167970099 |
| Mailing Telephone | 7167270099 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | DR. DAVID MARTIN JULIEN (OWNER) |
| Authorized Official Telephone | 7167270099 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SOUTH STREET HEALTH SERVICES FAMILY HEALTH AND PSYCHIATRY NPS PLLC | 8-12 South Street, Lockport, New York 14094 |
| Street Address |
8-12 SOUTH STREET |
| City | LOCKPORT |
| State | NY |
| Zip Code | 14094-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093377723 | Sarah A Shaw Od Optometrist Pllc | Optometrist | 215 East Avenue, Lockport, NY 14094 | 2019-07-02 |
| 1780168732 | Woodbridge Nurse Practitioner In Psychiatry Pllc | Clinic/Center | 680 Davison Road, Lockport, NY 14094 | 2018-09-17 |
| 1124512249 | Leleya Tsygyrlash | Registered Nurse | 6332 Green Valley Lane, Lockport, NY 14094 | 2018-06-21 |
| 1699226811 | Jessica Monroe | Specialist | 51 High Street, Lockport, NY 14094 | 2016-10-24 |
| 1689127334 | Allison Cuzzacrea | Physician Assistant | 3644 Day Road, Lockport, NY 14094 | 2016-07-29 |
| 1386027878 | Michael T Trombitas | Chiropractor | 244 Bewley Building, Market Street, Lockport, NY 14094 | 2015-07-02 |
| 1407265226 | Mary Len I | Social Worker | 519 Bewley Building, Lockport, NY 14094 | 2014-08-06 |
| 1871904441 | Edtasha New | Registered Nurse | 120 South New York Street, Lockport, NY 14094 | 2014-05-16 |
| 1326469313 | Eastern Niagara Neurology PC | Psychiatry & Neurology | 170 Professional Parkway, Lockport, NY 14094 | 2013-12-18 |
| 1720348261 | Bianca Angelica Belli | Family Medicine | 5875 S. Transit Road, Lockport, NY 14094 | 2012-05-17 |
| Find all providers in zip 14094 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851355747 | Michael J Ostolski | Nurse Practitioner | 702 Davison Rd, Lockport, NY 14094-5371 | 2006-04-17 |
| 1548233745 | Martha Putnam | Nurse Practitioner | 5875 S Transit Rd, Lockport, NY 14094-6340 | 2006-02-08 |
| 1871626796 | Chad A Shepherd | Nurse Practitioner | 77 Elizabeth Dr, Lockport, NY 14094-5226 | 2007-03-13 |
| 1437292687 | Amy B Lombardo | Nurse Practitioner | 57 Davison Ct, Lockport, NY 14094-5370 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235432 | Koli Eckert | Nurse Practitioner | 2455 77th St Fl 2, East Elmhurst, NY 11370-1525 | 2020-11-04 |
| 1134728942 | Angelyn Arielle Brown | Nurse Practitioner | 3332 Walden Ave Ste 1100, Depew, NY 14043-2400 | 2020-10-22 |
| 1871191056 | Natalie Larissa Cohen | Nurse Practitioner | 555 Laguardia Pl, New York, NY 10012-1402 | 2020-10-11 |
| 1841807799 | Raquel Shivanna Sookram | Nurse Practitioner | 5505 Myrtle Ave, Ridgewood, NY 11385-3550 | 2020-09-24 |
| 1154938264 | Haessal Kim | Nurse Practitioner | 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 | 2020-09-23 |
| 1235745282 | April Lynne Mott | Nurse Practitioner | 600 Ivy St Ste 108, Elmira, NY 14905-1627 | 2020-09-16 |
| 1407461676 | Kim Marie Neenan-reilly | Nurse Practitioner | 7200 Douglaston Pkwy, Main Floor, Douglaston, NY 11362-1941 | 2020-09-14 |
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1992316996 | Cassandra Dionne Saint-furcy | Nurse Practitioner | 6 Provenzano St, Inwood, NY 11096-1410 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
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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.