MRS. MICHELE LYNN MCMANTER BURNHAM (NPI# 1417382359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417382359 |
| Entity Type | Individual |
| Full Name | MRS. MICHELE LYNN MCMANTER BURNHAM |
| Credential | M.S. |
| Practice Address |
1744 W Genesee St Syracuse NY 13204-1902 |
| Mailing Address |
3478 Depot Rd Auburn NY 13021-9448 |
| Practice Telephone | 3154683414 |
| Mailing Telephone | 3157305434 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 812415 | NY | Other Service Providers |
| Street Address |
1744 W GENESEE ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972693729 | Heather Lynn Ellman | Speech-Language Pathologist | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2006-10-13 |
| 1154954436 | Wendy Pautz | Psychologist | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2020-02-14 |
| 1265091466 | Malia Pratt | Speech-Language Pathologist | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2019-06-11 |
| 1669038782 | Linda Maa | Speech-Language Pathologist | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2019-05-14 |
| 1366906596 | Anna Drescher | Early Intervention Provider Agency | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2019-01-22 |
| 1942774609 | Serena Diane Hunter | Occupational Therapy Assistant | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2019-01-16 |
| 1740767524 | Laura Flaherty | Occupational Therapy Assistant | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2018-07-24 |
| 1629561238 | Alycia Marie Maher | Speech-Language Pathologist | 1744 W Genesee St, Syracuse, NY 13204 | 2018-06-08 |
| 1336655588 | Kaitlyn Elizabeth Boepple | Occupational Therapist | 1744 W Genesee St, Syracuse, NY 13204 | 2017-12-26 |
| 1417476961 | Merry Margaret Maxwell Feldmann | Speech-Language Pathologist | 1744 W Genesee St, Syracuse, NY 13204-1902 | 2017-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| 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 |
|---|---|---|---|---|
| 1427664804 | Claire I Williams | Specialist | 443 Westbrook Hills Dr, Syracuse, NY 13215-1886 | 2020-09-21 |
| 1396377313 | Amanda Hopkins | Specialist | 123 Claire Rd, Syracuse, NY 13214-1907 | 2020-02-07 |
| 1679012975 | Dalia Faouzi Eid | Specialist | 500 Harrison St Geneva Tower, Apt 1603, Syracuse, NY 13202-0000 | 2017-02-20 |
| 1891238150 | Maria Todeschini | Specialist | 102 Suffolk Rd, Syracuse, NY 13219-1051 | 2016-11-18 |
| 1740734565 | Amanda Nicole Smith | Specialist | 116 Marian Dr, Syracuse, NY 13219-2423 | 2016-08-10 |
| 1275981953 | Lleni Pach | Specialist | 302 Halton Rd, Syracuse, NY 13224-2228 | 2016-06-02 |
| 1497120711 | Siani Ym Amidon | Specialist | 3353 Pleasant Valley Rd, Syracuse, NY 13215-8673 | 2015-12-11 |
| 1154791283 | Jessica Burton | Specialist | 215 Sedgwick St, Syracuse, NY 13203-3052 | 2015-10-01 |
| 1144636978 | Kelly Rotella | Specialist | 515 Parsons Dr, Syracuse, NY 13219-2349 | 2014-07-01 |
| 1891100798 | Linda Bogart | Specialist | 305 Hillside St, Syracuse, NY 13208-2341 | 2014-06-30 |
| Find all providers in SYRACUSE | ||||
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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.