KATHLEEN CREAGH (NPI# 1427310739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427310739 |
| Entity Type | Individual |
| Full Name | KATHLEEN CREAGH |
| Credential | MS ED |
| Practice Address |
29-01 216th Street Bayside NY 11360 |
| Mailing Address |
14 Lindberg Place Williston Park NY 11596 |
| Practice Telephone | 7182818843 |
| Mailing Telephone | 7182818843 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
29-01 216TH STREET |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447403100 | Mariamma Jose | Occupational Therapist | 29-01 216th Street, Bayside, NY 11360 | 2008-10-28 |
| 1275156416 | Anastasia Evanoff | Speech-Language Pathologist | 29-01 216th Street, Center for Pediatric Feeding Disorders, Bayside, NY 11360 | 2020-05-22 |
| 1518361955 | Desiree Borre | Social Worker | 29-01 216th Street, Bayside, NY 11725 | 2014-10-14 |
| 1295086130 | Melissa Tavarez | Case Manager/Care Coordinator | 29-01 216th Street, Bayside, NY 11360 | 2012-10-01 |
| 1952652794 | Antonieta Xiomara Roach-hall | Case Manager/Care Coordinator | 29-01 216th Street, Bayside, NY 11360 | 2012-09-19 |
| 1013285857 | Melissa Imera Brochero | Case Manager/Care Coordinator | 29-01 216th Street, Bayside, NY 11360 | 2011-12-08 |
| 1386912269 | Karen Alexandra Ozaeta | Case Manager/Care Coordinator | 29-01 216th Street, Bayside, NY 11360 | 2011-12-07 |
| 1245507763 | Angela Seanon Cameron | Case Manager/Care Coordinator | 29-01 216th Street, Bayside, NY 11360 | 2011-11-29 |
| 1629377783 | Kathleen Denise King | Speech-Language Pathologist | 29-01 216th Street, St. Mary's Hospital for Children, Bayside, NY 11360-2899 | 2011-03-15 |
| 1861639288 | Patricia Lynn O'sullivan | Physical Therapist | 29-01 216th Street, Bayside, NY 11360 | 2009-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446345 | Astride Mompremier | Behavior Technician | 214-10 24thavenue, Suite2, Bayside, NY 11360 | 2020-01-24 |
| 1992208144 | Accredited Dermatologic Surgery, PC | Clinic/Center | 23-83 Bell Blvd, Bayside, NY 11360 | 2018-03-14 |
| 1972041820 | Claudia Gina Block | Specialist | 1815 215 Street, Apt 9r, Bayside, NY 11360 | 2017-02-10 |
| 1720524358 | Ellen Tsang | Occupational Therapist | 215-26 23rd Road, Apt #1, Bay Terrace, NY 11360 | 2017-01-06 |
| 1982051082 | Sonya Sheppard | Registered Nurse | 29-01 216th St, St. Marys Community Care Professionals, Bayside, NY 11360 | 2016-05-18 |
| 1912364373 | Tiffany Ann Avon | Psychologist | 207-28 Jordan Drice, Bayside, NY 11360 | 2016-01-15 |
| 1992178925 | Ira Knobler | Behavioral Analyst | 15-50 212th St, Bayside, NY 11360 | 2015-11-13 |
| 1386028595 | Annalisa Macaluso | Nurse Practitioner | 20568 Brian Crescent, Bayside, NY 11360 | 2015-07-17 |
| 1821497728 | Arthur Ernest Schwartz | General Practice | 216-12 31st Road, Bayside, NY 11360 | 2014-08-15 |
| 1124448121 | Anne Chan-ly, Dds, Pllc | Clinic/Center | 208-54 Cross Island Parkway, Bayside, NY 11360 | 2014-04-17 |
| Find all providers in zip 11360 | ||||
| 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.