MRS. STACIE L COLLETTE (NPI# 1487955019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487955019 |
| Entity Type | Individual |
| Full Name | MRS. STACIE L COLLETTE |
| Credential | RN |
| Practice Address |
366 County Route 17 Brushton NY 12916-4403 |
| Practice Telephone | 5185297243 |
| Mailing Telephone | 5185297243 |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
579751 | NY | Nursing Service Providers |
| Street Address |
366 COUNTY ROUTE 17 |
| City | BRUSHTON |
| State | NY |
| Zip Code | 12916-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609161033 | Pamela M Martin | Licensed Practical Nurse | 1280 Washington St., Brushton, NY 12916 | 2011-06-14 |
| 1255525515 | Sally White | Internal Medicine | 1214 Washington Street, Brushton, NY 12916 | 2007-08-30 |
| 1659798197 | Penny Mcquinn | Social Worker | 17 Avery Rd, Brushton, NY 12916-3400 | 2014-03-22 |
| 1023538006 | Broken Walls Crushed Sidewalks Counseling Lcsw PC | Clinic/Center | 17 Avery Rd, Brushton, NY 12916-3400 | 2017-06-21 |
| 1407908916 | Brushton-moira Central School | Local Education Agency (LEA) | 758 County Route 7, Brushton, NY 12916-3916 | 2007-01-17 |
| 1851709752 | Joanne Cassavaw | Licensed Practical Nurse | 758 County Route 7, Brushton, NY 12916-3916 | 2014-07-24 |
| 1881017622 | Nancy Boyer | Specialist/Technologist | 758 County Route 7, Brushton, NY 12916-3916 | 2014-01-30 |
| 1801218813 | Daniel Taylor | Occupational Therapy Assistant | 758 County Route 7, Brushton, NY 12916-3916 | 2014-01-09 |
| 1740534635 | Jessica A. Stover | Speech-Language Pathologist | 758 County Route 7, Brushton, NY 12916-3916 | 2012-10-31 |
| 1972805075 | Toni Louise Newman | Licensed Practical Nurse | 758 County Route 7, Brushton, NY 12916-3916 | 2010-11-22 |
| Find all providers in zip 12916 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665082 | Lisa M Grolling | Registered Nurse | 91 Butcher Rd, Hilton, NY 14468-9706 | 2020-09-28 |
| 1811514565 | Marie Andree Dorce | Registered Nurse | 7214 Bergen Cv, Brooklyn, NY 11234-7100 | 2020-06-29 |
| 1497384648 | Monica Mena | Registered Nurse | 88 Jean Ave, Hempstead, NY 11550-6325 | 2020-04-08 |
| 1609410406 | Marva Pow | Registered Nurse | 3644 Harper Ave, Bronx, NY 10466-5907 | 2019-11-05 |
| 1730720699 | Mary Kay A Gibbons | Registered Nurse | 1 Beach 105 Street, 12f, Rockaway Park, NY 11694 | 2019-10-02 |
| 1356800601 | Karene Ortensa Blake | Registered Nurse | 1584 Kenneth Ave, North Baldwin, NY 11510-1659 | 2019-03-17 |
| 1275099491 | Eunhee Kim | Registered Nurse | 105 Echo Ave, Miller Place, NY 11764-2205 | 2019-02-12 |
| 1487122180 | Penny Ann Bloom | Registered Nurse | 188 Clearwater Cir, Rochester, NY 14612-3081 | 2018-11-12 |
| 1952884900 | Annette Novena | Registered Nurse | 1007 E 57th St, Brooklyn, NY 11234-2507 | 2018-09-14 |
| 1316428022 | Quiera Decosta | Registered Nurse | 632 Wilson Ave, Brooklyn, NY 11207-1577 | 2018-08-22 |
| Find all providers with the same taxonomy | ||||
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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.