KIM MARIE NEENAN-REILLY (NPI# 1407461676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407461676 |
| Entity Type | Individual |
| Full Name | KIM MARIE NEENAN-REILLY |
| Credential | APRN |
| Practice Address |
7200 Douglaston Pkwy Main Floor Douglaston NY 11362-1941 |
| Mailing Address |
40 Harmon St Long Beach NY 11561-2708 |
| Practice Telephone | 7184613065 |
| Mailing Telephone | 5163511095 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 308746 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 Harmon St, Long Beach, NY 115612708 | 5163511095 |
| Street Address |
7200 DOUGLASTON PKWY MAIN FLOOR |
| City | DOUGLASTON |
| State | NY |
| Zip Code | 11362-1941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776760 | Karen Rienzi | Occupational Therapist | 245-37 60th Avenue, Douglaston, NY 11362 | 2020-10-01 |
| 1780154773 | Assisted Development & Growth LLC | Early Intervention Provider Agency | 252-32 60th Avenue, Little Neck, NY 11362 | 2018-12-03 |
| 1326515560 | Gardenia Acupuncture | Acupuncturist | 253 W End Drive, Little Neck, NY 11362 | 2018-10-25 |
| 1275011330 | Erica Leia Hoffman | Community/Behavioral Health | Pride of Judea Community Services, 243-02 Northern Blvd., Douglaston, NY 11362 | 2018-08-01 |
| 1669990669 | Maria Kourounis | Social Worker | Pride of Judea Counseling Center -, 243-02 Northern Blvd., Douglaston, NY 11362 | 2017-08-30 |
| 1639696511 | Hyunyeul Cho | Acupuncturist | 58-17 255th St., Left, Little Neck, NY 11362 | 2017-08-23 |
| 1053837575 | Navarrete Dds Pllc | Dentist | 45-06 Little Neck Pkwy, Suite 204, Little Neck, NY 11362 | 2017-08-16 |
| 1912356155 | Esteer Khelea | Specialist | 24845 Cambria Ave, Little Neck, NY 11362 | 2016-06-08 |
| 1811395304 | Soyoung Lee Tung | Physical Therapist | 249-16 60th Ave, 1f, Little Neck, NY 11362 | 2014-12-15 |
| 1376969584 | Linette J Giuliano | Social Worker | 46-24 243rd Street, Douglaston, NY 11362 | 2014-03-12 |
| Find all providers in zip 11362 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235432 | Koli Eckert | Nurse Practitioner | 2455 77th St Fl 2, East Elmhurst, NY 11370-1525 | 2020-11-04 |
| 1134728942 | Angelyn Arielle Brown | Nurse Practitioner | 3332 Walden Ave Ste 1100, Depew, NY 14043-2400 | 2020-10-22 |
| 1871191056 | Natalie Larissa Cohen | Nurse Practitioner | 555 Laguardia Pl, New York, NY 10012-1402 | 2020-10-11 |
| 1841807799 | Raquel Shivanna Sookram | Nurse Practitioner | 5505 Myrtle Ave, Ridgewood, NY 11385-3550 | 2020-09-24 |
| 1154938264 | Haessal Kim | Nurse Practitioner | 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 | 2020-09-23 |
| 1235745282 | April Lynne Mott | Nurse Practitioner | 600 Ivy St Ste 108, Elmira, NY 14905-1627 | 2020-09-16 |
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1992316996 | Cassandra Dionne Saint-furcy | Nurse Practitioner | 6 Provenzano St, Inwood, NY 11096-1410 | 2020-08-12 |
| 1033720560 | Cara Danielle Skulski | Nurse Practitioner | 3028 Hillbrook Dr, Eden, NY 14057-1246 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | DOUGLASTON |
| Zip Code | 11362 |
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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.