KATHLEEN NICHOLAS (NPI# 1386991776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386991776 |
| Entity Type | Individual |
| Full Name | KATHLEEN NICHOLAS |
| Practice Address |
21426 41st Ave Bayside NY 11361-2159 |
| Practice Telephone | 7186311110 |
| Practice Fax Number | 7186311314 |
| Mailing Telephone | 7186311110 |
| Mailing Fax Number | 7186311314 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912145723 | Kathleen Ellison Nicholas | Speech-Language Pathologist | 6417 S Kingston Ave, Tulsa, OK 74136-2112 | 2009-02-02 |
| 1770921298 | Kathleen Nicholas | Physical Therapist | 9000 Waukegan Rd, Suite 100, Morton Grove, IL 60053-2127 | 2013-06-06 |
| Street Address |
21426 41ST AVE |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11361-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225027964 | Charles Keith | Psychologist | 21426 41st Ave, Siute 204, Bayside, NY 11361-2107 | 2005-10-15 |
| 1013309004 | Jessica Mei Gershen | Case Manager/Care Coordinator | 21426 41st Ave, Suite 130, Bayside, NY 11361-2159 | 2015-02-27 |
| 1497147771 | Carol Saenz-santamaria | Case Manager/Care Coordinator | 21426 41st Ave, Suite 130, Bayside, NY 11361-2159 | 2015-02-24 |
| 1386046126 | Narmeen Husssain | Case Manager/Care Coordinator | 21426 41st Ave, Bayside, NY 11361-2159 | 2014-09-24 |
| 1285984336 | Deirdre Scholl | Behavioral Analyst | 21426 41st Ave, Suite 130, Bayside, NY 11361-2159 | 2012-09-17 |
| 1538415955 | Zohreh Daniel | Specialist | 21426 41st Ave, Bayside, NY 11361-2159 | 2012-08-03 |
| 1568718617 | Jennifer Mckay | Case Manager/Care Coordinator | 21426 41st Ave, Bayside, NY 11361-2159 | 2012-07-26 |
| 1629324777 | Nadejge Pierre Louis | Case Manager/Care Coordinator | 21426 41st Ave, Bayside, NY 11361-2159 | 2012-07-26 |
| 1124374285 | Johanna Arteaga | Case Manager/Care Coordinator | 21426 41st Ave, Bayside, NY 11361-2159 | 2012-07-26 |
| 1700132859 | Bisma Anwar | Case Manager/Care Coordinator | 21426 41st Ave, Bayside, NY 11361-2159 | 2012-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078055 | Nicole E. Sarracco | Speech-Language Pathologist | 215 - 46 39th Avenue, Flushing, NY 11361 | 2020-06-19 |
| 1689294381 | Terri Robin Will | Registered Nurse | 3416 2019th Street, Queens, NY 11361 | 2020-04-22 |
| 1295364875 | Melanie Besthoff | Speech-Language Pathologist | 215-46 39th Avenue, Flushing, NY 11361 | 2020-04-05 |
| 1790339844 | Alana Valle | Occupational Therapist | 20947 34th Rd, Bayside, NY 11361 | 2019-07-26 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093233694 | Karen Trentacosta | Registered Nurse | 40-04a Bell Boulevard, Bayside, NY 11361 | 2017-09-03 |
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1780113050 | Miaoying Zhu | Social Worker | 217-63 Corbett Rd, Bayside, NY 11361 | 2017-06-08 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
| Find all providers in zip 11361 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669025177 | Kaila Calabrese | Specialist | 2835 202nd St, Bayside, NY 11360-2326 | 2019-07-23 |
| 1033687470 | Liana Jon Antonucci | Specialist | 21408 40th Ave, Bayside, NY 11361-2117 | 2018-11-03 |
| 1275063091 | Nicole Hirsh | Specialist | 1 Bay Club Dr Apt 19k, Bayside, NY 11360-2912 | 2017-06-14 |
| 1972041820 | Claudia Gina Block | Specialist | 1815 215 Street, Apt 9r, Bayside, NY 11360 | 2017-02-10 |
| 1720521636 | Bianca Maria Riggs | Specialist | 2635 202nd St, Bayside, NY 11360-2324 | 2016-11-25 |
| 1376091439 | Susan Sherman-tanzer | Specialist | 20814 26th Ave, Bayside, NY 11360-2460 | 2016-09-19 |
| 1225486210 | Janna Meyer | Specialist | 1420 212th St, Bayside, NY 11360-1108 | 2016-05-31 |
| 1902260102 | Samantha Tuchfeld | Specialist | 4554 215th Pl, Bayside, NY 11361-3445 | 2016-04-13 |
| 1093170375 | Olivia Ioannou | Specialist | 5823 Francis Lewis Blvd, Bayside, NY 11364-1636 | 2015-12-30 |
| 1003207440 | Winnie Sim | Specialist | 3618 203rd St, Bayside, NY 11361-1124 | 2015-02-06 |
| Find all providers in BAYSIDE | ||||
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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.