MS. CATHLEEN T. WALRAVEN (NPI# 1164549176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164549176 |
Entity Type | Individual |
Full Name | MS. CATHLEEN T. WALRAVEN |
Practice Address |
33 Broadway Lady K Lingerie Denville NJ 07834-2705 |
Practice Telephone | 9736271836 |
Practice Fax Number | 9736277105 |
Mailing Telephone | 9736271836 |
Mailing Fax Number | 9736277105 |
Enumeration Date | 2007-03-23 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BOC | C17789 | 01 | |
CERTIFICATION # FOR ABC | CFM00259 | 01 |
Street Address |
33 BROADWAY LADY K LINGERIE |
City | DENVILLE |
State | NJ |
Zip Code | 07834-2705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932382769 | Lady K Lingerie Inc. | Prosthetic/Orthotic Supplier | 33 Broadway, Denville, NJ 07834-2705 | 2007-12-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891304622 | Rosemarie Proven-fahy | Social Worker | 3175 Rt. 10 Building C, Suite 700, Denville, NJ 07834 | 2020-07-28 |
1568083327 | Anand Jetti | Student in an Organized Health Care Education/Training Program | Prime Healthcare Consortium At St. Mary's General Hospi, 25 Pocono Road, Denville, NJ 07834 | 2020-05-04 |
1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
1477022770 | Green Leaf Dentistry, LLC | Dentist | 3155 Route 10, Suite 201, Denville, NJ 07834 | 2018-11-15 |
1366955528 | Megan D Lukany | Social Worker | 4 2nd Ave Ste 208-b, Denville, NJ 07834 | 2017-11-09 |
1235680430 | Jennifer Jeanty | Nurse Practitioner | 280 W Main St Fl 2, Denville, NJ 07834 | 2016-10-22 |
1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
1265830830 | Denville Physical Therapy, LLC | Physical Therapist | 3155 Rte 10 E, Suite 112, Denville, NJ 07834 | 2014-12-15 |
1538565577 | Michael T. Cocuzza | Counselor | 76 Broadway Ste 200h, Denville, NJ 07834 | 2014-11-18 |
Find all providers in zip 07834 |
Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
An individual trained in the management of fitting prefabricated orthoses. |
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639718422 | Peoplecare Inc | Orthotic Fitter | 220 Davidson Ave Ste 3d, Somerset, NJ 08873-4149 | 2019-12-27 |
1679008676 | Beneficial Medical Supply | Orthotic Fitter | 50 Us Highway 9 Ste 108, Grosso Office Park, Morganville, NJ 07751-1558 | 2017-04-27 |
1679010680 | Frank Grigoli | Orthotic Fitter | 8 Mineral Spring Rd, Millstone Township, NJ 08510-8754 | 2017-01-28 |
1689078313 | Eder Charles | Orthotic Fitter | 56 Clinton Pl, Newark, NJ 07108-1219 | 2014-10-09 |
1124437975 | Valerie Pagan | Orthotic Fitter | 154 Union Ave Apt 23, Rutherford, NJ 07070 | 2014-08-06 |
1710398706 | Damiano Mazza | Orthotic Fitter | 42 Fencsak Ave, Elmwood Park, NJ 07407-1243 | 2014-05-13 |
1396909784 | Lashes By Liz Dba Winks Hair & Lash Studio | Orthotic Fitter | 30 Monmouth St, Red Bank, NJ 07701 | 2008-07-15 |
1922293000 | Pomac | Orthotic Fitter | 365 C New Albany Rd., Moorestown, NJ 08057 | 2007-09-11 |
1942423728 | Brian J. Mulcahy | Orthotic Fitter | 573 Belleville Ave, Belleville, NJ 07109-1307 | 2007-04-10 |
1235277336 | Delta Orthopedic Lab., Inc. | Orthotic Fitter | 1010 Summit Ave, Jersey City, NJ 07307-3519 | 2007-02-01 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MS. CATHLEEN T. WALRAVEN.
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.