MS. SAMANTHA A. KELLY (NPI# 1275557852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275557852 |
| Entity Type | Individual |
| Full Name | MS. SAMANTHA A. KELLY |
| Credential | CRNA |
| Practice Address |
1000 N. Village Ave Rockville Centre NY 11570 |
| Mailing Address |
194-04 111th Road St. Albans NY 11412-2019 |
| Practice Telephone | 5167051200 |
| Mailing Telephone | 7184790245 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 487061 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591963 | Samantha Patel Kelly | Student in an Organized Health Care Education/Training Program | 800 Stone Creek Blvd, Yukon, OK 73099-4432 | 2020-06-02 |
| 1255852661 | Samantha Jo Kelly | Dentist | 1710 Nashville Pike # 102, Gallatin, TN 37066 | 2017-07-06 |
| 1417369448 | Samantha Kelly | Speech-Language Pathologist | 2631 S Moore Dr Unit B, Lakewood, CO 80227-2789 | 2014-05-26 |
| 1639708191 | Samantha Nicole Kelly | Licensed Vocational Nurse | 1664 Broadway, El Cajon, CA 92021-5201 | 2020-04-06 |
| 1255970703 | Samantha Ann Kelly | Pharmacy Technician | 1812 Centre Creek Dr Ste 115, Austin, TX 78754-5133 | 2020-01-02 |
| 1568010205 | Samantha Elizabeth Kelly | Social Worker | 1010 Downing Ave Ste 60, Hays, KS 67601-2461 | 2019-08-27 |
| 1518488634 | Samantha Kelly | Registered Nurse | 5900 Coyle Ave, Carmichael, CA 95608-0400 | 2017-06-28 |
| 1245465699 | Samantha Anne Kelly | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2009-05-28 |
| 1477629442 | Samantha Josephine Kelly | Case Manager/Care Coordinator | 1733 Vine St, Denver, CO 80206-1119 | 2006-11-28 |
| Street Address |
1000 N. VILLAGE AVE |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932130374 | Michael Carney | Physician Assistant | 1000 N. Village Ave, Rockville Centre, NY 11571 | 2006-07-05 |
| 1114947033 | Patricia Buro | Physician Assistant | 1000 N. Village Ave, Rockville Centre, NY 11571 | 2006-07-21 |
| 1861412959 | Jaime Aubel | Physician Assistant | 1000 N. Village Ave, Rockville Centre, NY 11571 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437792736 | Joseph Biscardi II | Nurse Anesthetist, Certified Registered | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2019-10-20 |
| 1093952830 | Mercylin Marvalee Allen | Nurse Anesthetist, Certified Registered | 176 N Village Ave, Suite 2d, Rockville Centre, NY 11570 | 2009-01-15 |
| 1467500967 | Sandra De Falco Hodne | Nurse Anesthetist, Certified Registered | 176 N Village Ave, Suite 2d, Rockville Centre, NY 11570-3800 | 2007-01-08 |
| 1982796462 | Sara A. Maccorkindale | Nurse Anesthetist, Certified Registered | 176 N Village Ave, Suite 2d, Rockville Centre, NY 11570-3800 | 2006-09-29 |
| 1952312589 | Patricia J. Bulin | Nurse Anesthetist, Certified Registered | 176 N Village Ave, Rockville Centre, NY 11570-3800 | 2006-08-10 |
| 1770511529 | Priscilla Gordon | Nurse Anesthetist, Certified Registered | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788581 | Chioma Ukachi Nwankwo | Nurse Anesthetist, Certified Registered | 835 Blooming Grove Tpke Apt 173, New Windsor, NY 12553-8163 | 2020-07-27 |
| 1528603230 | Catherina Luisa Stevens | Nurse Anesthetist, Certified Registered | 122 Day Spring Ct, Schenectady, NY 12306-3344 | 2019-11-18 |
| 1669021705 | Tahela Davidov | Nurse Anesthetist, Certified Registered | 27005 76th Ave # 11040, New Hyde Park, NY 11040-1402 | 2019-09-11 |
| 1588121792 | Aisha Powell | Nurse Anesthetist, Certified Registered | 2132 Wallace Ave Apt 246, Bronx, NY 10462-2504 | 2019-02-23 |
| 1144786765 | Michelle Giannetti | Nurse Anesthetist, Certified Registered | 1900 Empire Blvd # 221, Webster, NY 14580-1934 | 2019-02-19 |
| 1023591286 | Hans K Hoogs | Nurse Anesthetist, Certified Registered | 550 1st Ave Dept Of, New York, NY 10016-6402 | 2018-09-12 |
| 1639655475 | Julian Piazzola | Nurse Anesthetist, Certified Registered | 5843 59th St, Maspeth, NY 11378-3246 | 2018-07-16 |
| 1235622572 | Kathleen T Hipp | Nurse Anesthetist, Certified Registered | Nyu Langone Health Tisch Hospital, 550 First Avenue, New York, NY 10016 | 2018-06-12 |
| 1568953149 | Michelle Ng | Nurse Anesthetist, Certified Registered | 550 1st Ave Fl 5, New York, NY 10016-6402 | 2018-05-19 |
| 1164921326 | Edjona Groysman | Nurse Anesthetist, Certified Registered | 130 Stroud Ave, Staten Island, NY 10312-3244 | 2018-02-02 |
| Find all providers with the same taxonomy | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
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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.