MRS. SANDRA LEE CONKLIN (NPI# 1457637720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457637720 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA LEE CONKLIN |
| Credential | REGISTERED NURSE |
| Practice Address |
138 North Court Street Veterans Memorial Building Wampsville NY 13163-0608 |
| Practice Telephone | 3153662327 |
| Practice Fax Number | 3153662599 |
| Mailing Telephone | 3153662327 |
| Mailing Fax Number | 3153662599 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
344529-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1685780546 | 05 |
| Street Address |
138 NORTH COURT STREET, VETERANS MEMORIAL BUILDING |
| City | WAMPSVILLE |
| State | NY |
| Zip Code | 13163-0608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164824462 | Beth Perry | Social Worker | 138 N Court Street, Wampsville, NY 13163 | 2014-09-18 |
| 1659529949 | Timothy Gerard Brown | Social Worker | 138 N. Court St, Wampsville, NY 13163 | 2008-08-29 |
| 1477752376 | Muftah A. Kadura, Md | Internal Medicine | 235 Genesee St, Wampsville, NY 13163 | 2007-07-12 |
| 1881719888 | Kenneth Edward Hefty | Counselor | 138 North Court Rd, Wampsville, NY 13163 | 2007-03-20 |
| 1518990811 | Denise Michelle Calcagnino | Counselor | Veterans Memorial Building, North Court Street, Wampsville, NY 13163 | 2006-07-09 |
| 1871157065 | Mallory Kleps | Counselor | 138 N Court St, Wampsville, NY 13163 | 2019-04-24 |
| 1861968968 | Mark James Miller | Social Worker | 138 North Court St, Wampsville, NY 13163 | 2018-10-17 |
| 1881194611 | Christina Labella | Counselor | 138 N. Court Street, Wampsville, NY 13163 | 2018-02-19 |
| 1083143358 | Megan Mcpeak | Social Worker | 138 N. Court St., Wampsville, NY 13163 | 2017-06-08 |
| 1568999175 | Madison County Health Deptartment | Case Manager/Care Coordinator | 138 North Court St, Wampsville, NY 13163 | 2017-05-12 |
| Find all providers in zip 13163 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688864 | Shayna Feuer | Registered Nurse | 275 Fort Washington Ave Apt 2a, New York, NY 10032-1234 | 2020-10-28 |
| 1932716297 | Sonia Somwar | Registered Nurse | 13163 Francis Lewis Blvd, Laurelton, NY 11413-1844 | 2020-09-29 |
| 1225643885 | Colette Kogut | Registered Nurse | 5130 East Main St Rd, Suite 2, Batavia, NY 14020 | 2020-09-10 |
| 1912519059 | Anu Vazhappilly | Registered Nurse | 356 Central Park Ave Apt E3, Scarsdale, NY 10583-1363 | 2020-08-19 |
| 1336759430 | Christopher Colin Fish | Registered Nurse | 10 County Center Rd, White Plains, NY 10607-1537 | 2020-08-04 |
| 1265041172 | Samantha M Joanette | Registered Nurse | 71 Margaret Terrance Memorial Way, Akwesasne, NY 13655-3236 | 2020-07-27 |
| 1760009062 | Jake Hernandez | Registered Nurse | 12333 83rd Ave Apt 2601, Kew Gardens, NY 11415-3439 | 2020-07-02 |
| 1477178192 | Edith I Cline | Registered Nurse | 1204 E 223rd St, Bronx, NY 10466-5802 | 2020-06-09 |
| 1851913453 | Ekaterina Prokofieva | Registered Nurse | 3235 Emmons Ave Apt 625, Brooklyn, NY 11235-1157 | 2020-05-18 |
| 1295357986 | Sarah Elizabeth Elkin | Registered Nurse | 265 Cabrini Blvd Apt 3e, New York, NY 10040-3610 | 2020-05-15 |
| Find all providers with the same taxonomy | ||||
| City | WAMPSVILLE |
| Zip Code | 13163 |
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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.