MRS. CAROL THEODORE (NPI# 1609092824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609092824 |
| Entity Type | Individual |
| Full Name | MRS. CAROL THEODORE |
| Credential | FNP |
| Practice Address |
Colonial Court 374 Route 116 Somers NY 10589 |
| Mailing Address |
Po Box 306 Somers NY 10589-0306 |
| Practice Telephone | 9142760880 |
| Practice Fax Number | 9142760883 |
| Mailing Telephone | 9142760880 |
| Mailing Fax Number | 9142760883 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F333595 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
COLONIAL COURT 374 ROUTE 116 |
| City | SOMERS |
| State | NY |
| Zip Code | 10589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052724 | Paul A Barakat | Physical Therapist | 2811, 189 Ny-100, Somers, NY 10589 | 2020-04-24 |
| 1053825455 | Alicia Mara Morgan | Counselor | 380 Us 202, Somers, NY 10589 | 2017-11-21 |
| 1538558572 | Louis E Fierromd | General Acute Care Hospital | 287a Heritage Hills Dr., 287a Heritage Hills Dr., Somers, NY 10589 | 2015-01-14 |
| 1457548802 | Omni Vision Optometric Eye Care Pllc | Optometrist | 340 Route 202, Bailey Ct., Bldg A, 2nd Floor, Somers, NY 10589 | 2007-10-01 |
| 1992921167 | Michael M Karol | Dentist | 356 Rte 202, Somers, NY 10589 | 2007-04-17 |
| 1518088996 | Cvs Albany, L.L.C. | Durable Medical Equipment & Medical Supplies | 325 Routes 100, Somers, NY 10589 | 2007-04-03 |
| 1891819207 | Robert Gregg Weiner | Dentist | 338 Route 100, Bailey Court, Somers, NY 10589 | 2007-03-19 |
| 1336294867 | Somers Central School Dsitrict | Local Education Agency (LEA) | 250 Route 202, Somers, NY 10589 | 2007-01-24 |
| 1629134416 | Deanna Sandor | Internal Medicine | Route 100 Millpond Road, Suite 207a, Somers, NY 10589 | 2006-12-28 |
| 1265593180 | Dorothy J. Whalen-budnik | Counselor | 253 Route 202, Suite 4, Somers, NY 10589 | 2006-12-13 |
| Find all providers in zip 10589 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255878773 | Jennifer Briggs | Nurse Practitioner | 146 Main Street, Somers, CT 06071-1825 | 2017-01-22 |
| 1699872010 | Suzanne C Gullotta | Nurse Practitioner | 77 Deer Creek Road, Somers, MT 59932 | 2006-09-20 |
| 1962401372 | Suzanne C Gullotta | Nurse Practitioner | 77 Deer Creek Rd, Somers, MT 59932 | 2005-07-18 |
| 1760957526 | Suzanne Marie Viger | Nurse Practitioner | 146 Main St, Somers, CT 06071-1214 | 2018-10-09 |
| 1205378353 | Somers Family Practice | Nurse Practitioner | 24 Battle St, Suite 1a, Somers, CT 06071-1629 | 2016-11-07 |
| 1083032882 | Merin Sanoj Joseph | Nurse Practitioner | 189 Route 100, Somers, NY 10589-2811 | 2014-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| 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.