KELLY ANNE SHERIDAN (NPI# 1467066506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467066506 |
| Entity Type | Individual |
| Full Name | KELLY ANNE SHERIDAN |
| Credential | RN |
| Practice Address |
1535 Richmond Ave Staten Island NY 10314-1520 |
| Mailing Address |
347 Sharon Ave Staten Island NY 10301-3418 |
| Practice Telephone | 9294824300 |
| Mailing Telephone | 6463314486 |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2020-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
788521-01 | NY | Nursing Service Providers |
| Street Address |
1535 RICHMOND AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568603470 | Alexandra E Kelleher | Contractor | 1535 Richmond Ave, Staten Island, NY 10314-1520 | 2009-03-23 |
| 1609301969 | Taylor Alvarez | Case Manager/Care Coordinator | 1535 Richmond Ave, Staten Island, NY 10314-1520 | 2017-04-25 |
| 1508301219 | Brianna Prestigiacomo | Case Manager/Care Coordinator | 1535 Richmond Ave, 3rd Floor, Staten Island, NY 10314-1520 | 2017-01-04 |
| 1720535008 | Elana Reiss | Speech-Language Pathologist | 1535 Richmond Ave, 3rd Floor, Staten Island, NY 10314-1520 | 2016-09-05 |
| 1477007672 | Valerie Sterling | Specialist | 1535 Richmond Ave, 3rd Floor, Staten Island, NY 10314-1520 | 2016-08-05 |
| 1932558889 | Nathaniel Samuel | Specialist | 1535 Richmond Ave, Staten Island, NY 10314-1520 | 2016-06-10 |
| 1487018982 | Lauren B Schaefer | Student in an Organized Health Care Education/Training Program | 1535 Richmond Ave, 3rd Floor, Staten Island, NY 10314-1520 | 2016-04-11 |
| 1407224355 | Sunny Days Consulting Services | Early Intervention Provider Agency | 1535 Richmond Ave, 3rd Floor, Staten Island, NY 10314-1520 | 2015-09-09 |
| 1245615574 | Joanne Termine | Specialist | 1535 Richmond Ave, Staten Island, NY 10314-1520 | 2015-07-28 |
| 1508240698 | Christina Ciaburri | Early Intervention Provider Agency | 1535 Richmond Ave, Staten Island, NY 10314-1520 | 2015-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568953768 | Adele A Andrews | Registered Nurse | 43 Thomas St, Staten Island, NY 10306-2041 | 2018-05-23 |
| 1124526876 | Gerri Ann Goetz | Registered Nurse | 35 Mckee Ave, Staten Island, NY 10308-3526 | 2018-01-29 |
| 1679088256 | Neal Joseph Costigan | Registered Nurse | 560 Howard Ave Apt A, Staten Island, NY 10301-4413 | 2017-12-05 |
| 1043734247 | Ellen Beth Hirsch | Registered Nurse | 17 Alexander Avenue, Staten Island, NY 10312-1907 | 2017-07-29 |
| 1730559576 | Elizabeth Berken | Registered Nurse | 405 Bard Ave, Staten Island, NY 10310-2101 | 2015-10-06 |
| 1427499946 | Francine Licausi | Registered Nurse | 89 Joline Ave, Staten Island, NY 10307-2060 | 2013-07-12 |
| 1932468436 | Toni-ann Zampella | Registered Nurse | 445 Castleton Ave, Staten Island, NY 10301-2140 | 2012-05-04 |
| 1508123472 | Linda Horn | Registered Nurse | 715 Ocean Ter Bldg J, Staten Island, NY 10301-4542 | 2012-04-17 |
| 1629344031 | Janice Caruselle | Registered Nurse | 1 Teleport Dr, Staten Island, NY 10311-1007 | 2012-03-29 |
| 1548536121 | Karen Christine Maskuli | Registered Nurse | 151 Tompkins Ave, Staten Island, NY 10304 | 2012-03-28 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on KELLY ANNE SHERIDAN.
| 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.