MR. PABLO OTERO (NPI# 1104993260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104993260 |
| Entity Type | Individual |
| Full Name | MR. PABLO OTERO |
| Credential | RN |
| Practice Address |
219 Pine St Theresa NY 13691-2103 |
| Practice Telephone | 3156284214 |
| Practice Fax Number | 3156284214 |
| Mailing Telephone | 3156284214 |
| Mailing Fax Number | 3156284214 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 561931 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02171286 | 05 |
| Street Address |
219 PINE ST |
| City | THERESA |
| State | NY |
| Zip Code | 13691-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326429069 | Dawn Marie Degroat | Licensed Practical Nurse | 42298 Mew Connecticut Rd, Theresa, NY 13691 | 2015-06-17 |
| 1003199381 | Kristina Green | Speech-Language Pathologist | 25855 Dano Rd, Theresa, NY 13691 | 2011-09-23 |
| 1497823389 | Kaleanna A Weatherup-otero | Licensed Practical Nurse | 219 Pine Street, Theresa, NY 13691-0219 | 2006-12-01 |
| 1043355183 | Sandra M Tejkl | Licensed Practical Nurse | 218 Riverside Ave, Theresa, NY 13691-0285 | 2007-02-20 |
| 1407466071 | Ellen Norma Denise Gill | Dental Hygienist | 41277 County Route 15, Theresa, NY 13691-2028 | 2020-08-07 |
| 1063771772 | Rachel Beth Ogle | Licensed Practical Nurse | 33407 County Route 46, Theresa, NY 13691-2067 | 2012-05-15 |
| 1538441944 | Kelly Breen | Speech-Language Pathologist | 225 Pine St, Theresa, NY 13691-2103 | 2011-09-12 |
| 1558509158 | Kathleen Ann Hilyer | Licensed Practical Nurse | 225 Riverside Ave, Theresa, NY 13691-2119 | 2009-02-04 |
| 1568944825 | Meghan Guler | Physical Therapist | 37112 County Route 46, Theresa, NY 13691-2202 | 2018-09-04 |
| 1811263528 | Theresa Leeson | Registered Nurse | 125 Bridge St, Theresa, NY 13691-2204 | 2012-03-27 |
| Find all providers in zip 13691 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407390776 | Brittany Sheree Hansen | Registered Nurse | 610 Sycamore Pl, Theresa, WI 53091-9641 | 2016-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699596 | Calissa Saint Paul | Registered Nurse | 77 Gibson Blvd, Valley Stream, NY 11581-3375 | 2020-11-08 |
| 1386245199 | Alisha Tiffany Howard | Registered Nurse | 19 Lakeside Dr, Centerport, NY 11721-1513 | 2020-11-06 |
| 1114528858 | Melissa Marie Leppard | Registered Nurse | 5092 Jennifer Dr, Syracuse, NY 13212-1009 | 2020-11-06 |
| 1992306831 | Barbara Sam | Registered Nurse | 2889 Baisley Ave Apt 2fl, Bronx, NY 10461-6118 | 2020-11-06 |
| 1134720105 | Marie Degraff | Registered Nurse | 8 Forest Ave, Glen Cove, NY 11542-2122 | 2020-11-05 |
| 1144821158 | Aeneas Kwame Osei | Registered Nurse | 28 Horseshoe Way, Middletown, NY 10940-2334 | 2020-11-05 |
| 1487255543 | Samantha Lee Manzo | Registered Nurse | 1450 Deep Hole Dr, Mattituck, NY 11952-2610 | 2020-11-05 |
| 1295336261 | Janet Esmas | Registered Nurse | 200 Haven Ave Apt 5r, New York, NY 10033-5308 | 2020-11-05 |
| 1376144246 | Jessica Quaranto | Registered Nurse | 4728 Transit Rd Apt B5, Depew, NY 14043-4955 | 2020-11-05 |
| 1871194001 | Anya Khaimova | Registered Nurse | 17656 80th Rd, Jamaica, NY 11432-1409 | 2020-11-04 |
| 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.