AMANDA CORRISA KALSIH (NPI# 1154724334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154724334 |
| Entity Type | Individual |
| Full Name | AMANDA CORRISA KALSIH |
| Credential | R.N |
| Practice Address |
95 Evergreen Circle Fairport NY 14450 |
| Practice Telephone | 5852860073 |
| Mailing Telephone | 5852860073 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
691847 | NY | Nursing Service Providers |
| Street Address |
95 EVERGREEN CIRCLE |
| City | FAIRPORT |
| State | NY |
| Zip Code | 14450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1477011773 | Meredith Noel Austin-appleton | Pediatrics | Pediatric Urgent Care of Rochester, 6687 Pittsford Palmyra Rd, Fairport, NY 14450 | 2019-03-05 |
| 1659852358 | Linda Demme | Registered Nurse | 29 Pleasant St, Fairport, NY 14450 | 2018-08-22 |
| 1679075154 | Tharaha Thavakumar | Behavior Technician | 6 N. Main Street, Fairport, NY 14450 | 2018-03-01 |
| 1295244309 | Comprehensive Medicine, Pllc | Psychiatry & Neurology | 762 Crosskeys Office Park, Fairport, NY 14450 | 2017-09-21 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1477947786 | Preston Orthodontics, Pllc | Dentist | 2154 Fairport Nine Mile Point Road, Fairport, NY 14450 | 2015-03-25 |
| 1295172153 | Pamela Lea Alexander | Skilled Nursing Facility | 41 O,connor Road, Monroe #1 Boces, Fairport, NY 14450 | 2013-05-31 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
| 1437409695 | Julie Jerome | Speech-Language Pathologist | 149 N. Main Street, Fairport, NY 14450 | 2012-09-14 |
| Find all providers in zip 14450 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787631 | Shinelle Burgess | Registered Nurse | 287 N 3rd Ave, Bay Shore, NY 11706-4109 | 2020-10-13 |
| 1881201812 | Merlyn Hope Bennett | Registered Nurse | 19726 Carpenter Ave, Hollis, NY 11423-2959 | 2020-09-24 |
| 1033723119 | Louise Margarrette Lazol | Registered Nurse | 362 Parkside Ave, Brooklyn, NY 11226-1480 | 2020-09-04 |
| 1013521129 | Eliana Shinefield | Registered Nurse | 520 W 184th St Apt 42, New York, NY 10033-4353 | 2020-09-04 |
| 1710591292 | Suzanne Soltani | Registered Nurse | 6 Harriet Ct, Sea Cliff, NY 11579-1419 | 2020-09-02 |
| 1790397446 | Chaunte West | Registered Nurse | 98 Spaulding St, Buffalo, NY 14220-1238 | 2020-08-22 |
| 1023627288 | Nikkita Jackson | Registered Nurse | 454 Westchester Avenue, Port Chester, NY 10573 | 2020-07-23 |
| 1154946663 | Schnell Ewart Fowles | Registered Nurse | 14742 109th Ave, Jamaica, NY 11435-5416 | 2020-06-10 |
| 1295359057 | Amenda Almonte | Registered Nurse | 15804 Sanford Ave Apt 2a, Flushing, NY 11358-2532 | 2020-06-07 |
| 1982228979 | Christine Egeria Mouzakitis | Registered Nurse | 12 Vinton St, North Massapequa, NY 11758-1030 | 2020-06-04 |
| 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.