KELLIE CUMMINGS (NPI# 1407480551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407480551 |
| Entity Type | Individual |
| Full Name | KELLIE CUMMINGS |
| Credential | PA |
| Practice Address |
111 Maltese Dr Middletown NY 10940-2141 |
| Practice Telephone | 8453424774 |
| Mailing Telephone | 8453424774 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 024733 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY LICENSE | 024733 | 01 |
| Street Address |
111 MALTESE DR |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744892 | Stanley C. Giudici | Psychiatry & Neurology | 111 Maltese Dr, Middletown, NY 10940-2115 | 2005-07-18 |
| 1396342648 | Mckinnley Conklin | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2115 | 2020-10-08 |
| 1548884794 | Maria Pryluck | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2020-06-03 |
| 1952944308 | Thomas C Macpherson | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-10-17 |
| 1801447313 | Elvira Sahmanovic | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-09-25 |
| 1225688799 | Sandra Binkowski | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-09-17 |
| 1174178222 | Elizabeth Jahn | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2115 | 2019-08-06 |
| 1194378554 | Christine Louise Straessle | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-07-24 |
| 1508426198 | Jillian Ann Carlstrom | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-06-17 |
| 1528524063 | Efrain Nathan Rogers Rodrigo | Licensed Practical Nurse | 111 Maltese Dr, Middletown, NY 10940-2115 | 2019-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738006 | Amanda Kwartemaah Osei | Physician Assistant | 2 Colonial Sq, Middletown, NJ 07748-3548 | 2020-10-22 |
| 1740777234 | Susan Ko-velez | Physician Assistant | 941 Rte 35, Middletown, NJ 07748-2601 | 2018-04-19 |
| 1265880918 | Jared Marshall | Physician Assistant | 222 Carriage Crossing Ln, Middletown, CT 06457-5862 | 2016-06-02 |
| 1184921322 | Juliane Natasha Everest | Physician Assistant | 1680 Route 35, Family Wellness Center, Middletown, NJ 07748 | 2011-02-24 |
| 1326271412 | Kristin Myers | Physician Assistant | 896 Washington St, Middletown, CT 06457-2912 | 2009-08-24 |
| 1245410422 | Kristine Carta Lane | Physician Assistant | 540 Saybrook Rd Ste 110, Middletown, CT 06457-4711 | 2007-11-06 |
| 1003001587 | Mary Chau Tran | Physician Assistant | 400 Saybrook Rd Ste 205, Middletown, CT 06457-4775 | 2007-09-07 |
| 1417153131 | Kimberly Marie Dembeck | Physician Assistant | 75 Crystal Run Rd Ste G40, Middletown, NY 10941-7000 | 2007-06-21 |
| 1659460236 | Irene Eng | Physician Assistant | 25 Myrtle Ave, Middletown, NY 10940-4122 | 2006-10-12 |
| 1821001298 | Byron Edward Schieber | Physician Assistant | 81 Constellation Ct, Middletown, PA 17057-5086 | 2006-08-15 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
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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.