KALISTA NIZIALIK (NPI# 1285104158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285104158 |
| Entity Type | Individual |
| Full Name | KALISTA NIZIALIK |
| Practice Address |
2283 Grand Island Blvd Grand Island NY 14072-1819 |
| Practice Telephone | 7166888815 |
| Mailing Telephone | 7166888815 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2283 GRAND ISLAND BLVD |
| City | GRAND ISLAND |
| State | NY |
| Zip Code | 14072-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922111236 | Thomas J Notaro | Chiropractor | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2006-08-17 |
| 1194357673 | Emily Wooster | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2020-02-12 |
| 1235778713 | Ryan Funke | Chiropractor | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2019-12-31 |
| 1457810004 | Holly House | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2019-03-13 |
| 1598248833 | Anne Kamholz | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2018-09-12 |
| 1699223180 | Danielle Burson | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2016-09-14 |
| 1245695360 | Jennifer Mourgas | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2015-12-16 |
| 1255741179 | Kathleen Good | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072 | 2014-04-30 |
| 1154497121 | Grand Island Chiropractic PC | Chiropractor | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183287 | Bodyworksolutions LLC | Physical Therapist | 2099 Grand Island Blvd., Ste B, Grand Island, NY 14072 | 2019-09-12 |
| 1134685084 | Dr. Cassata Eye Care Optometrist, P.C. | Optometrist | 1780 Grand Island Blvd, Grand Island, NY 14072 | 2019-02-15 |
| 1487122875 | Kimberley Catherine Banas | Licensed Practical Nurse | 552 East River Rd, Grand Island, NY 14072 | 2018-11-05 |
| 1538667910 | Lauren Jane Fonte | Specialist | 218 Woodstream Drive, Grand Island, NY 14072 | 2018-01-31 |
| 1750806279 | Susan Ruth Spiesz | In Home Supportive Care | 2970 Sunset Drive, Grand Island, NY 14072 | 2017-08-04 |
| 1265894307 | Corey Yamamura | Case Manager/Care Coordinator | Baseline Rd., Grand Island, NY 14072 | 2016-03-28 |
| 1174890941 | Kristine Ann Taylor | Speech-Language Pathologist | 1100 Ransom Road, Grand Island Central School District, Grand Island, NY 14072 | 2011-11-22 |
| 1710141890 | Jo Ann Marie Mallo | Dietitian, Registered | 452 White Haven Rd, Grand Island, NY 14072 | 2008-07-17 |
| 1972782720 | Jeanne Quintern | Pharmacist | 2325 Grand Island Blvd, Grand Island, NY 14072 | 2007-10-29 |
| 1689894909 | Island Prescription Center,llc | Pharmacy | 1728 Grand Island Blvd, Grand Island, NY 14072 | 2007-04-27 |
| Find all providers in zip 14072 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935340 | Anne Danhauer | Massage Therapist | 935 S Locust St, Grand Island, NE 68801-6751 | 2019-10-29 |
| 1922580380 | Ali Renee Meister | Massage Therapist | 114 W 3rd Street, Grand Island, NE 68801 | 2018-09-03 |
| 1073923991 | Maria Casey | Massage Therapist | 176 Regency Dr, Grand Island, NY 14072-1453 | 2014-04-30 |
| 1306965256 | Brenda Kanicki Balducci | Massage Therapist | 36633 Sundance Dr, Grand Island, FL 32735-9119 | 2007-03-29 |
| 1194357673 | Emily Wooster | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2020-02-12 |
| 1467096503 | Amanda Kinney | Massage Therapist | 2237 N Webb Rd, Grand Island, NE 68803-1740 | 2019-11-01 |
| 1841850146 | Meister Massage | Massage Therapist | 114 W 3rd St, Grand Island, NE 68801-5914 | 2019-06-18 |
| 1457810004 | Holly House | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2019-03-13 |
| 1598248833 | Anne Kamholz | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2018-09-12 |
| 1699223180 | Danielle Burson | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2016-09-14 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 14072 |
Please comment or provide details below to improve the information on KALISTA NIZIALIK.
| 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.