ANDREA LYNN CRANAGE (NPI# 1144659533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144659533 |
Entity Type | Individual |
Full Name | ANDREA LYNN CRANAGE |
Credential | RN |
Practice Address |
355 Riverside Dr Johnson City NY 13790-2744 |
Practice Telephone | 6072318364 |
Practice Fax Number | 6077729779 |
Mailing Telephone | 6072318364 |
Mailing Fax Number | 6077729779 |
Enumeration Date | 2013-11-06 |
Last Update Date | 2013-11-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
518292-1 | NY | Nursing Service Providers |
Street Address |
355 RIVERSIDE DR |
City | JOHNSON CITY |
State | NY |
Zip Code | 13790-2744 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134119209 | Ghassem Mangouri | Surgery | 355 Riverside Dr, Johnson City, NY 13790-2708 | 2005-10-28 |
1104873975 | Riverside Surgery & Breastcare | Surgery | 355 Riverside Dr, Johnson City, NY 13790-2708 | 2006-05-27 |
1295725364 | Dariush Vaziri | Surgery | 355 Riverside Dr, Johnson City, NY 13790-2708 | 2005-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
Find all providers in zip 13790 |
Taxonomy Code | 163WA2000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932747128 | Joyce Martinez | Registered Nurse | Wards Island Complex, New York, NY 10035-6095 | 2019-12-18 |
1184275554 | Margarette Douglas | Registered Nurse | 1500 Waters Pl # 10461, Bronx, NY 10461-2723 | 2019-09-26 |
1982252268 | Natalie Rivera | Registered Nurse | 2223 Amsterdam, New York, NY 10032 | 2019-08-29 |
1568016889 | Deborah L Proscher | Registered Nurse | 167 S Parliman Rd, Lagrangeville, NY 12540-6817 | 2019-07-25 |
1689235350 | Patricia Rosemary Downer-bandoo | Registered Nurse | 250 W 2nd St Ph, Mount Vernon, NY 10550-2829 | 2019-06-24 |
1477012839 | Dinette Phildor | Registered Nurse | 13545 223rd St, Laurelton, NY 11413-2341 | 2019-03-15 |
1669936373 | Tanya Lavonne Woods | Registered Nurse | 10 Spindrift Ct Apt 6, Williamsville, NY 14221-7853 | 2019-01-27 |
1326513912 | Kurt H. Leggard | Registered Nurse | 1661 Millstone Rd, Sag Harbor, NY 11963-2211 | 2018-10-10 |
1770092371 | Nadege M Rihan | Registered Nurse | 3000 Eastchester Road, Bronx, NY 10469 | 2017-09-26 |
1720512007 | Patrice Collins | Registered Nurse | 101-125 W 147th St, Apt 8c, New York, NY 10039-4301 | 2017-04-13 |
Find all providers with the same taxonomy |
City | JOHNSON CITY |
Zip Code | 13790 |
Please comment or provide details below to improve the information on ANDREA LYNN CRANAGE.
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.