MRS. MICHELLE FORDE (NPI# 1174931422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174931422 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE FORDE |
| Credential | NP |
| Practice Address |
1444 5th Ave Bay Shore NY 11706-4147 |
| Practice Telephone | 6316472048 |
| Mailing Telephone | 6316472048 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2015-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401746 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1444 5TH AVE |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891800207 | Carin D. Winter | Counselor | 1444 5th Ave, Bay Shore, NY 11706 | 2006-08-19 |
| 1750998647 | Maria C Perea | Student in an Organized Health Care Education/Training Program | 1444 5th Ave, Bay Shore, NY 11706-4147 | 2020-09-25 |
| 1689285421 | Laura Anne Dooling | Social Worker | 1444 5th Ave, Bay Shore, NY 11706-4147 | 2020-08-14 |
| 1174146278 | Jonice E Baptiste | Social Worker | 1444 5th Ave, Bay Shore, NY 11706-4147 | 2020-05-22 |
| 1700406931 | Andrea Mills | Social Worker | 1444 5th Ave, Bay Shore, NY 11706-4147 | 2020-04-17 |
| 1831727999 | Marissa Harrington | Social Worker | 1444 5th Ave, Bay Shore, NY 11706-4147 | 2020-04-01 |
| 1144855867 | Richard Gonzalez | Counselor | 1444 5th Ave, Bay Shore, NY 11706-4147 | 2020-03-04 |
| 1992337422 | Gabrielle L Ibraham | Counselor | 1444 5th Ave, Bay Shore, NY 11706-4147 | 2020-02-12 |
| 1417588906 | Stephanie Guevara | Counselor | 1444 5th Ave, Bay Shore, NY 11706-4147 | 2020-02-03 |
| 1316578156 | Alex J Contino | Social Worker | 1444 5th Ave, Bay Shore, NY 11706-4147 | 2020-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| 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 |
|---|---|---|---|---|
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1063599819 | Anastasia Blanchard | Nurse Practitioner | 107 Ocean Ave, Bay Shore, NY 11706-8717 | 2006-11-01 |
| 1558979377 | South Shore Psychiatric Nurse Practitioner Group | Nurse Practitioner | 245 W Main St, Bay Shore, NY 11706-8323 | 2020-07-17 |
| 1346752045 | Jennifer Rose Rogan | Nurse Practitioner | 245 W Main St, Bay Shore, NY 11706-8323 | 2017-11-02 |
| 1386189090 | Elizabeth Curran | Nurse Practitioner | 9 4th Ave, Bay Shore, NY 11706-7908 | 2017-01-04 |
| 1760835037 | Frederick Scholl | Nurse Practitioner | 301 E Main St, Bay Shore, NY 11706-8408 | 2016-07-21 |
| 1780832287 | Kathleen Mary Ryan-garrett | Nurse Practitioner | 56 W Main St, Bay Shore, NY 11706-8327 | 2008-09-09 |
| 1942420062 | Carole J Chin | Nurse Practitioner | 160 Howells Rd, Carole Chin Counseling Center, Bay Shore, NY 11706-5320 | 2007-04-30 |
| 1326074329 | Pamela Marie Stengel | Nurse Practitioner | 301 E Main St, Bay Shore, NY 11706-8408 | 2006-06-23 |
| 1851349799 | Florence Ann Dimartino | Nurse Practitioner | 301 E Main St, Bay Shore, NY 11706-8408 | 2006-05-04 |
| Find all providers in BAY SHORE | ||||
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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.