DEIRDRE MAE MICKER (NPI# 1467622084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467622084 |
| Entity Type | Individual |
| Full Name | DEIRDRE MAE MICKER |
| Credential | N.P. |
| Practice Address |
9 Hdsn Vly Prof Plz Newburgh NY 12550-3150 |
| Mailing Address |
1 Webster Ave Ste 202 Poughkeepsie NY 12601-1362 |
| Practice Telephone | 8455610990 |
| Practice Fax Number | 8455621439 |
| Mailing Telephone | 8454835741 |
| Mailing Fax Number | 8454835713 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2019-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | F420349 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F420349 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F420349 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02462962 | 05 |
| Street Address |
9 HDSN VLY PROF PLZ |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447275342 | Robert R Bibi | Plastic Surgery | 9 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853413 | Heather Nicole Dickerson | Nurse Practitioner | 8211 W State Route 66 Ste A, Newburgh, IN 47630-2534 | 2020-08-28 |
| 1265064380 | Debra Winkler | Nurse Practitioner | 4199 Gateway Blvd Ste 2300, Newburgh, IN 47630-8966 | 2020-02-06 |
| 1043863715 | Lajuan Bethune Booker Np In Family Health P.C. | Nurse Practitioner | 24 Knights Cir, Newburgh, NY 12550-2422 | 2019-07-22 |
| 1477039733 | Christian Jose Plaza | Nurse Practitioner | 407 Gidney Ave Ste B, Newburgh, NY 12550-3741 | 2018-07-19 |
| 1801319256 | Audra M Douglas | Nurse Practitioner | 100 St Marys Epworth Xing Ste A100, Newburgh, IN 47630-9694 | 2017-07-18 |
| 1336676444 | Amy Lowe | Nurse Practitioner | 100 St Marys Epworth Xing Ste A200, Newburgh, IN 47630-9695 | 2017-05-19 |
| 1497297808 | Joy Lariviere | Nurse Practitioner | 407b Gidney Ave, Newburgh, NY 12550-3702 | 2016-11-16 |
| 1952851339 | Kaye Lucas Saludares | Nurse Practitioner | 44 Ramblewood Dr, Newburgh, NY 12550-8784 | 2016-10-10 |
| 1730562679 | Sofya Sinelnikov | Nurse Practitioner | 425 Robinson Ave Ste 1, Newburgh, NY 12550-3303 | 2015-07-08 |
| 1265847495 | Krystal Thurman Wright | Nurse Practitioner | 8211w State Route 66 A, Newburgh, IN 47630-2534 | 2014-06-26 |
| Find all providers in NEWBURGH | ||||
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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.