IMAN SHIRELLE HINES (NPI# 1144671934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144671934 |
| Entity Type | Individual |
| Full Name | IMAN SHIRELLE HINES |
| Credential | NP |
| Practice Address |
487 S Broadway # 220 Yonkers NY 10705-3269 |
| Mailing Address |
845 N Broadway White Plains NY 10603-2427 |
| Practice Telephone | 9144234433 |
| Practice Fax Number | 9144239434 |
| Mailing Telephone | 9147610600 |
| Mailing Fax Number | 9147615367 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 689982 | NY | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402597 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
487 S BROADWAY # 220 |
| City | YONKERS |
| State | NY |
| Zip Code | 10705-3269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346398930 | Amanda Vassallo | Social Worker | 487 S Broadway # 220, C/o Wjcs, Yonkers, NY 10705-3269 | 2007-01-08 |
| 1588215602 | Erin Dow | Student in an Organized Health Care Education/Training Program | 487 S Broadway # 220, Yonkers, NY 10705-3269 | 2019-09-20 |
| 1982255006 | Elizabeth Verrastro | Student in an Organized Health Care Education/Training Program | 487 S Broadway # 220, Yonkers, NY 10705-3269 | 2019-09-20 |
| 1952951147 | Hae-joon Kim | Student in an Organized Health Care Education/Training Program | 487 S Broadway # 220, Yonkers, NY 10705-3269 | 2019-09-19 |
| 1316408636 | Nakea Reed | Social Worker | 487 S Broadway # 220, Yonkers, NY 10705-3269 | 2019-03-28 |
| 1548743966 | Sonya Sanmateu | Student in an Organized Health Care Education/Training Program | 487 S Broadway # 220, Yonkers, NY 10705-3269 | 2018-09-11 |
| 1063998334 | Raymond J. Zacchio | Social Worker | 487 S Broadway # 220, Yonkers, NY 10705-3269 | 2018-07-19 |
| 1841725025 | Christina Favale | Social Worker | 487 S Broadway # 220, C/o Wjcs, Yonkers, NY 10705-3269 | 2017-04-26 |
| 1518415496 | Jessica Villaalicea | Social Worker | 487 S Broadway # 220, Yonkers, NY 10705-3269 | 2016-09-20 |
| 1982152120 | Sara Dobosh | Student in an Organized Health Care Education/Training Program | 487 S Broadway # 220, C.o Wjcs, Yonkers, NY 10705-3269 | 2016-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| 1053802132 | Safa Ali Alsaidi | Speech-Language Pathologist | 72 Sedgwick Ave, Yonkers, NY 10705 | 2018-05-23 |
| 1962921882 | Breena Beck | Social Worker | 487 S Broadway Ste 2, Yonkers, NY 10705 | 2017-09-12 |
| 1285152231 | Megan Nicole Coyne | Specialist/Technologist | 1090 South Dr., Indiana, PA 10705 | 2017-08-30 |
| 1467994459 | Georgia Katsalis | Social Worker | 573 South Broadway, Apt 2e, Yonkers, NY 10705 | 2016-11-08 |
| 1144680125 | Nonyem Akuba | Registered Nurse | 315 Glenbrook Avenue, Yonkers, New York, NY 10705 | 2016-03-03 |
| 1629435078 | Marisol Castro-pecoraro | Counselor | 360 South Broadway, Suite 22, Yonkers, NY 10705 | 2016-01-15 |
| 1518331255 | Health Care New York | Home Health | 39 Cliff Ave, Yonkers, NY 10705 | 2015-11-18 |
| 1548668122 | Mike Menla | Family Medicine | 415 South Broadway, St Josephs Outpatient Clinic, Yonkers, NY 10705 | 2014-12-12 |
| 1952706731 | Branislav Ristic | Dietitian, Registered | 501 Riverdale Ave 2g, Yonkers, NY 10705 | 2014-10-23 |
| Find all providers in zip 10705 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811409386 | Lisa Novak, Nurse Practitioner In Psychiatry, Pllc | Nurse Practitioner | 35 E Grassy Sprain Rd Ste 3ll, Yonkers, NY 10710-4621 | 2017-10-24 |
| 1265778252 | Ese Peter Abohwo | Nurse Practitioner | 91 Mclean Ave, Yonkers, NY 10705-2481 | 2012-12-18 |
| 1235292947 | Margaret Kathleen Okeeffe | Nurse Practitioner | 78 Stratton St S, Yonkers, NY 10701-5969 | 2006-12-18 |
| 1174169932 | Patois Republic LLC | Nurse Practitioner | 909 Midland Ave, Yonkers, NY 10704-1092 | 2019-11-26 |
| 1730691221 | Jairo Cordero | Nurse Practitioner | 2 Park Ave, Yonkers, NY 10703-3402 | 2017-10-25 |
| 1144686700 | Lorraine M. Congdon | Nurse Practitioner | 487 S Broadway # 220, C/o Wjcs, Yonkers, NY 10705-3269 | 2016-01-12 |
| 1003290362 | Melissa Martyn | Nurse Practitioner | 20 S Broadway, Mha 11th Floor, Yonkers, NY 10701-3713 | 2015-07-16 |
| 1376801175 | Audra Elyse Mendes | Nurse Practitioner | 73 Market St, Yonkers, NY 10710-7616 | 2012-04-30 |
| 1124329537 | Lisa Novak | Nurse Practitioner | 35 E Grassy Sprain Rd, Ste 3ll, Yonkers, NY 10710-4621 | 2010-11-16 |
| 1427288240 | Becky Dunza Jordan | Nurse Practitioner | 73 Market St, Yonkers, NY 10710 | 2009-07-15 |
| Find all providers in YONKERS | ||||
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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.