RICHIE WELLS JR. (NPI# 1336783521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336783521 |
Entity Type | Individual |
Full Name | RICHIE WELLS JR. |
Practice Address |
Stratton Drive Park Center Athletic Training Room Cortland NY 13045 |
Mailing Address |
2150 Crotona Pkwy Apt 5b Bronx NY 10460-1594 |
Practice Telephone | 6077534901 |
Mailing Telephone | 3474433212 |
Enumeration Date | 2019-10-31 |
Last Update Date | 2019-10-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
STRATTON DRIVE PARK CENTER ATHLETIC TRAINING ROOM |
City | CORTLAND |
State | NY |
Zip Code | 13045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
1679852016 | Cortland Audiology, PC | Hearing Aid Equipment | 1033 State Route 13, Cortland, NY 13045 | 2011-08-16 |
Find all providers in zip 13045 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841897220 | Elise Dolbier | Student in an Organized Health Care Education/Training Program | 165 Main St. Ste A, Cortland, NY 13045-3049 | 2020-10-08 |
1265060859 | Lyudmila Levitskaya | Student in an Organized Health Care Education/Training Program | 3663 Fairview Dr, Cortland, NY 13045-9331 | 2020-03-30 |
1619361821 | Kelly Noble | Student in an Organized Health Care Education/Training Program | 4313 Cosmos Hill Rd, Cortland, NY 13045-9132 | 2015-03-25 |
1487251864 | Kevin Broderick | Student in an Organized Health Care Education/Training Program | 165 Main St. Ste A, Cortland, NY 13045-3049 | 2020-10-08 |
1578160958 | Colin Albro | Student in an Organized Health Care Education/Training Program | 165 Main St. Ste A, Cortland, NY 13045-3049 | 2020-10-08 |
1609482751 | Alyssa Jacklyn Watson | Student in an Organized Health Care Education/Training Program | 165 Main St Ste A, Cortland, NY 13045-3191 | 2020-09-23 |
1982210589 | Eva Pauline Grove | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-1304 | 2020-09-18 |
1619596822 | Alexandra Starmer | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2020-04-09 |
1285283945 | Melissa Compton | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-09-05 |
1245889922 | Lisa Stoothoff | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-09-05 |
Find all providers in CORTLAND |
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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.