MRS. DIANE M MOLTER (NPI# 1407333560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407333560 |
Entity Type | Individual |
Full Name | MRS. DIANE M MOLTER |
Credential | RN |
Practice Address |
795 Wisconsin Ave Bay Shore NY 11706-2336 |
Mailing Address |
839 Lafayette Ave Bohemia NY 11716-4407 |
Practice Telephone | 6314342401 |
Mailing Telephone | 6312184711 |
Enumeration Date | 2018-07-22 |
Last Update Date | 2018-07-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WS0200X |
Registered Nurse Specialization: School |
5185771 | NY | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | RN LICENSE NUMBER | 5185771 | 01 |
Street Address |
795 WISCONSIN AVE |
City | BAY SHORE |
State | NY |
Zip Code | 11706-2336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922575521 | Rebecca N Clark | Speech-Language Pathologist | 795 Wisconsin Ave, Bay Shore, NY 11706-2336 | 2018-11-01 |
1316206881 | Jaclyn Jepson | Speech-Language Pathologist | 795 Wisconsin Ave, Bay Shore, NY 11706-2336 | 2012-05-03 |
1386913127 | Debra Jeanne Cabot | Nurse Practitioner | 795 Wisconsin Ave, Bay Shore, NY 11706-2336 | 2011-12-23 |
1760751630 | Mary Clare Pirro | Nurse Practitioner | 795 Wisconsin Ave, Bay Shore, NY 11706-2336 | 2011-12-22 |
1568744399 | Jodi Mary Cahill | Speech-Language Pathologist | 795 Wisconsin Ave, Bay Shore, NY 11706-2336 | 2011-09-19 |
1104136308 | Eleanor Ponce | Social Worker | 795 Wisconsin Ave, Bay Shore, NY 11706-2336 | 2010-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
Find all providers in zip 11706 |
Taxonomy Code | 163WS0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831466234 | Jeanne Marie Carboni | Registered Nurse | 1415 E. Third Ave, Bay Shore, NY 11706-4221 | 2011-11-30 |
1689950115 | Carol Ann Phelan | Registered Nurse | 45 Brook Ave, Bay Shore, NY 11706-7416 | 2011-10-28 |
1528343928 | Veronica Karcher | Registered Nurse | 217 5th Ave, Bay Shore, NY 11706-6402 | 2011-10-17 |
1821373200 | Theresa Maria Stallone | Registered Nurse | 125 Wohseepee Dr, Bay Shore, NY 11706-7130 | 2011-10-17 |
1033673116 | Nina Goldrich | Registered Nurse | 885 Hampshire Rd, Bay Shore, NY 11706-7631 | 2019-01-23 |
1770057366 | Myrna Delarosamatos | Registered Nurse | 45 Brook Ave, Bay Shore, NY 11706-7416 | 2019-01-16 |
1104313048 | Karin Marie Krebs | Registered Nurse | 775 Wisconsin Ave, Bay Shore, NY 11706-2336 | 2018-04-17 |
1225542541 | Margaret Jeran | Registered Nurse | 1095 Joselson Ave, Bay Shore, NY 11706 | 2017-11-22 |
1437524261 | Jeanne Flood | Registered Nurse | 75 Perkal St, Bay Shore, NY 11706-6642 | 2015-12-04 |
1750750485 | Patricia Fogarty | Registered Nurse | 1415 E 3rd Ave, Bay Shore, NY 11706-4221 | 2015-09-23 |
Find all providers in BAY SHORE |
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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.