CHRISTINA GEORGIA (NPI# 1427452846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427452846 |
| Entity Type | Individual |
| Full Name | CHRISTINA GEORGIA |
| Credential | FNP |
| Practice Address |
36 Ivy League Lane Stony Brook NY 11790 |
| Mailing Address |
276 Hayes Rd Schuylerville NY 12871-1840 |
| Practice Telephone | 6317518291 |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
688407 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
346434 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
36 IVY LEAGUE LANE |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| 1023373685 | Jongkoo Ahn | Acupuncturist | 215 Hallock Rd Ste 6a, Stony Brook, NY 11790 | 2012-07-10 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558509828 | Denise F.o. D'ambrosia | Nurse Practitioner | T16-020 Hsc, Stony Brook, NY 11794-8171 | 2009-01-26 |
| 1386836542 | Amy Kathryn Curran | Nurse Practitioner | Department of Ob Gyn, Stony Brook Medicine, Stony Brook, NY 11794-0001 | 2007-08-13 |
| 1700096773 | Karen A Sproul | Nurse Practitioner | Stonybrook University Hospital, Dept. of Emergency Medicine - Hsc Level 4 - Room 080, Stony Brook, NY 11794-8350 | 2007-05-22 |
| 1659499309 | Clare Margaret Moran | Nurse Practitioner | Hsc Level 3 Room 049, Stony Brook, NY 11794-0001 | 2007-03-27 |
| 1285726422 | Denise Elizabeth Wahrheit | Nurse Practitioner | Department of Neurology Stony Brook Medicine, Hsc T-12, Rm 020, Stony Brook, NY 11794-8121 | 2006-09-28 |
| 1275634693 | Mary Ann Vagnini | Nurse Practitioner | Stony Brook University Cancer Ctr, 3 Edmund Pellegrino Road, Stony Brook, NY 11794-0001 | 2006-09-26 |
| 1366042764 | Alyssa Nicole Venezia | Nurse Practitioner | 1320 Stony Brook Rd Ste 100, Stony Brook, NY 11790-2222 | 2020-10-27 |
| 1942811336 | Heather Christine Bauerle | Nurse Practitioner | 100 Nicolls Road, Hsc T12 Room 080, Stony Brook, NY 11794-4249 | 2020-08-11 |
| 1578107918 | Peter Frisone | Nurse Practitioner | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2019-10-29 |
| 1851943344 | Deana Gordon | Nurse Practitioner | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2019-07-15 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
Please comment or provide details below to improve the information on CHRISTINA GEORGIA.
| 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.