KATHERINE KONCELIK (NPI# 1477876480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477876480 |
| Entity Type | Individual |
| Full Name | KATHERINE KONCELIK |
| Credential | CBD, CPD, CLC |
| Practice Address |
112 Jefferson St East Islip NY 11730 |
| Mailing Address |
112 Jefferson St East Islip NY 11730-1826 |
| Practice Telephone | 6315811066 |
| Mailing Telephone | 6315811066 |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers | ||
| N | 374J00000X | Doula | NY | Nursing Service Related Providers |
| Street Address |
112 JEFFERSON ST |
| City | EAST ISLIP |
| State | NY |
| Zip Code | 11730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092583 | Exchange Ambulance Corporation of The Islips | Ambulance | 190 Carleton Avenue, East Islip, NY 11730 | 2020-01-17 |
| 1629422639 | Wanda Chisolm | Counselor | 107 East Main Street, East Islip, NY 11730 | 2016-04-15 |
| 1689040990 | Ryan George Baist | Pharmacist | 18 Argyle Drive, East Islip, NY 11730 | 2015-08-20 |
| 1225448855 | Michael John Desivo | Dentist | 228 East Main St, East Islip, NY 11730 | 2014-05-05 |
| 1306279401 | Eileen Henry | Specialist | 81 Country Village Lane, East Islip, NY 11730 | 2013-08-13 |
| 1124306659 | Carol A Ryan-behr | Licensed Practical Nurse | 145 Woodland Ave, East Islip, NY 11730 | 2011-08-02 |
| 1154651768 | Helene Dellas-dibona | Social Worker | 216 Carleton Avenue, East Islip, NY 11730 | 2010-01-04 |
| 1952513921 | Lorraine G Ballou | Social Worker | 31 Sherwood Drive, East Islip, NY 11730 | 2007-05-04 |
| 1235271362 | Robert Anthony Domozych Jr. | Dentist | 127 West Main Street, East Islip, NY 11730 | 2007-02-13 |
| 1477614766 | Kathleen O'neill | Counselor | 265 East Main Street, Tranquility Counseling, East Islip, NY 11730 | 2006-12-12 |
| Find all providers in zip 11730 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659267 | Roxanne S Henry | Lactation Consultant, Non-RN | 79 De Mallie St, Rochester, NY 14610-1027 | 2020-11-06 |
| 1801403746 | Janell Barron | Lactation Consultant, Non-RN | 2321 7th Ave # Apy1f, New York, NY 10030-2543 | 2020-09-24 |
| 1346850898 | Christine L Mahoney Brooks | Lactation Consultant, Non-RN | 546 Midwood St Apt D8, Brooklyn, NY 11203-1159 | 2020-08-08 |
| 1710505706 | Natasha Dillahunt | Lactation Consultant, Non-RN | 649 Washington Ave Apt 4b, Brooklyn, NY 11238-3684 | 2020-07-07 |
| 1538786603 | Kimberly Gibson | Lactation Consultant, Non-RN | 159-20 Harlem River Dr Apt 6b, New York, NY 10039-1204 | 2020-07-06 |
| 1417581307 | Amelia Blythe Brady-cole | Lactation Consultant, Non-RN | 1135 Park Pl Apt 3, Brooklyn, NY 11213-2601 | 2020-02-28 |
| 1376173419 | Jodi Lynn Leonforte | Lactation Consultant, Non-RN | 1842 Tomlinson Ave # 2, Bronx, NY 10461-1419 | 2020-01-16 |
| 1619517083 | Cassandra Christopher | Lactation Consultant, Non-RN | 79 Hamilton Pl Apt 14, New York, NY 10031-6850 | 2020-01-13 |
| 1235778341 | Amy Kesavan | Lactation Consultant, Non-RN | 10 Chamberlain St, Rye, NY 10580-2410 | 2020-01-06 |
| 1962041228 | Jennifer Mary Sierant | Lactation Consultant, Non-RN | 3342 Lockport Olcott Rd, Newfane, NY 14108-9604 | 2020-01-03 |
| Find all providers with the same taxonomy | ||||
| City | EAST ISLIP |
| Zip Code | 11730 |
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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.