DAWN M DIECIDUE (NPI# 1194947085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194947085 |
| Entity Type | Individual |
| Full Name | DAWN M DIECIDUE |
| Credential | NP |
| Practice Address |
2500 Nesconset Highway Building 23 Stony Brook NY 11790 |
| Mailing Address |
7 Everit Place Smithtown NY 11787 |
| Practice Telephone | 6312469100 |
| Practice Fax Number | 6312469156 |
| Mailing Telephone | 6317245126 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F420410 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2500 NESCONSET HIGHWAY BUILDING 23 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508306333 | Head To Toe Chiropractic, Pllc | Chiropractor | 2500 Nesconset Highway, Building 9b, Stony Brook, NY 11790 | 2017-02-27 |
| 1356682652 | Mark-mina M Ishak | Neurological Surgery | 2500 Nesconset Highway, Building 18c, Stony Brook, NY 11790 | 2013-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194287094 | Carleen Conde | Nurse Practitioner | 101 Nicolls Rd # T19080, Stony Brook, NY 11794-0001 | 2019-04-01 |
| 1477746865 | Jacqueline Grace Paveling | Nurse Practitioner | University Medical Center Stony Brk, Stony Brook Hospital, Dept Medicine, Hospital 15n-082, Stony Brook, NY 11794-8160 | 2007-08-20 |
| 1942397211 | Kerry Walsh-gallagher | Nurse Practitioner | University Hospital L5, Stony Brook, NY 11794 | 2006-10-06 |
| 1659486710 | Laura Jean Hettrich | Nurse Practitioner | Stony Brook Hospital Hsc T19 020, Stony Brook, NY 11794-8191 | 2006-08-20 |
| 1235158577 | Roberto Rodriguez II | Nurse Practitioner | Stonybrook Hospital Hsc Level 18 Rm 0-40, Stony Brook, NY 11794-0001 | 2006-07-18 |
| 1851332456 | Antoinette Forster | Nurse Practitioner | Suny Putnam Hall Rm 103, Stony Brook, NY 11794-0001 | 2006-06-08 |
| 1124071824 | Norman Cruz | Nurse Practitioner | Stony Brook Umc, Hsc 18-040, Stony Brook, NY 11794-8191 | 2006-05-17 |
| 1982682266 | Jean O Lewis | Nurse Practitioner | Dept of Ophthalmology, Suny Stony Brook, Stony Brook, NY 11794-0001 | 2006-01-06 |
| 1508847302 | Margaret N Melendez | Nurse Practitioner | Stony Brook University Medical Ctr, Department of Medicine L16, Stony Brook, NY 11794-0001 | 2005-11-09 |
| 1093344038 | Rachel M Gartner | Nurse Practitioner | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-04-02 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
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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.