OLIVIA MICHELLE JOHNTRY (NPI# 1619337011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619337011 |
Entity Type | Individual |
Full Name | OLIVIA MICHELLE JOHNTRY |
Practice Address |
1500 Waters Pl Bronx NY 10461-2723 |
Mailing Address |
3050 White Plains Rd Bronx NY 10467-8124 |
Practice Telephone | 9293484492 |
Mailing Telephone | 9293484492 |
Enumeration Date | 2016-02-26 |
Last Update Date | 2016-02-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
1500 WATERS PL |
City | BRONX |
State | NY |
Zip Code | 10461-2723 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215010988 | Bronx State Hospital | Psychiatric Hospital | 1500 Waters Pl, Bronx, NY 10461-2723 | 2006-10-24 |
1093313462 | Sutthiwut Paul Klamsathien | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2020-10-16 |
1780228056 | Helen Sikeade Oladunjoye | Psychiatry & Neurology | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-30 |
1821631375 | Pingping Liu | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-28 |
1043853021 | Juan Ma | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-23 |
1992347421 | Pamela Walthall | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-16 |
1205478096 | Victoria Chima Duru-tanksley | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-13 |
1205478179 | Beryl Pearl Nwachukwu | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-12 |
1275175192 | Alma Grace P. Oliva | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-11 |
1265074132 | Kechner Moise | Registered Nurse | 1500 Waters Pl, Bronx, NY 10461-2723 | 2019-10-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
Find all providers in zip 10461 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
1750743639 | Jean Edouard | Peer Specialist | 640 W 232nd St, Bronx, NY 10463-3207 | 2016-03-22 |
1528565108 | Ramona Katiusca Santiago | Peer Specialist | 560 Southern Blvd, Bronx, NY 10455-3715 | 2018-04-10 |
1043751951 | Patricia Strauchn | Peer Specialist | 640 W 232nd St, Bronx, NY 10463-3207 | 2017-03-10 |
1568906683 | Jacqueline Belardo | Peer Specialist | 1910 Arthur Ave, 8th Floor #21, Bronx, NY 10457 | 2016-12-08 |
1427503531 | Margarita Perez | Peer Specialist | 1423 Prospect Ave, Bronx, NY 10459-1208 | 2016-08-18 |
1205288800 | Mark Rabb | Peer Specialist | 522 Courtlandt Ave, Bronx, NY 10451-5008 | 2016-07-07 |
1831540194 | Tameeka Gregg | Peer Specialist | 1500 Waters Pl, Bronx, NY 10461-2723 | 2016-06-28 |
1710342472 | Myung Park | Peer Specialist | 3050 White Plains Road, Bronx, NY 10467 | 2015-12-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385896 | Gary N/a Peluso | Peer Specialist | 62 Allan Dr, East Norwich, NY 11732-1203 | 2020-10-28 |
1043810138 | Ryan Hope Mcgovern | Peer Specialist | 950 S Oyster Bay Rd Bay Road, Hicksville, NY 11801-3510 | 2020-10-28 |
1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
1801409842 | Alexander Mannino | Peer Specialist | 419 Palisade Ave, Yonkers, NY 10703-2610 | 2020-08-28 |
1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
1700404001 | Kathy Annett Gardini | Peer Specialist | 1914 Brookhaven Ave, Far Rockaway, NY 11691-3626 | 2020-07-13 |
1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
1174140545 | Mercedes Busby | Peer Specialist | 118 Brauncroft Ln, Amherst, NY 14226-4957 | 2020-07-01 |
1457977258 | Carla J Alomar | Peer Specialist | 414 Martin Rd, Lackawanna, NY 14218-2830 | 2020-06-18 |
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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.