OLIVIA PELLETIER (NPI# 1356907836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356907836 |
| Entity Type | Individual |
| Full Name | OLIVIA PELLETIER |
| Practice Address |
241 North Rd Poughkeepsie NY 12601-1154 |
| Mailing Address |
19 Bradhurst Ave Ste 3100n Hawthorne NY 10532-2140 |
| Practice Telephone | 8454835000 |
| Mailing Telephone | 9149099018 |
| Mailing Fax Number | 9149099028 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS LICENSE | 023650 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715796 | Olivia Pelletier | Nurse Practitioner | 23 North St, Presque Isle, ME 04769-2291 | 2020-06-17 |
| Street Address |
241 NORTH RD |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006501 | Lobsang Lhungay | Anesthesiology | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2005-07-08 |
| 1457958118 | Brian Lucas Kaczmarek | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2020-10-06 |
| 1750988796 | Joshua John Foote | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2020-10-02 |
| 1467079681 | Kwaku Baidoo | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2020-07-03 |
| 1770106874 | Marissa Lyn Campilii | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2020-05-22 |
| 1205468642 | Scott Peters | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2020-02-04 |
| 1376199463 | William Martinez | Registered Nurse | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-08-14 |
| 1710532908 | Annmarie Scalzo | Nurse Practitioner | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-08-05 |
| 1568014793 | Lauren Davis | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-07-09 |
| 1235791138 | Amanda Mae Frankie | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664184 | Alley Nicole O'farrell | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-09-18 |
| 1821640392 | Daniel Higgins | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2019-07-15 |
| 1235791138 | Amanda Mae Frankie | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-07-01 |
| 1780245282 | Catherine Gruszecki | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-06-25 |
| 1902326515 | Maggie Lynn Fountain | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601 | 2017-06-24 |
| 1891249686 | Janelle Wilkerson | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2016-08-09 |
| 1346612744 | Amanda Pazian | Physician Assistant | 1 Columbia St, Poughkeepsie, NY 12601-3923 | 2015-10-24 |
| 1326448754 | Jack Tuchman | Physician Assistant | 241 North Rd, Physician Assistant Services, Poughkeepsie, NY 12601-1154 | 2014-09-04 |
| 1568708451 | Elyse Bischof | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2012-12-20 |
| 1093829954 | Jonathan Londin | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2006-08-18 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
Please comment or provide details below to improve the information on OLIVIA PELLETIER.
| 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.