NICOLE ESTRADA (NPI# 1639728389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639728389 |
| Entity Type | Individual |
| Full Name | NICOLE ESTRADA |
| Practice Address |
11 Route 111 Smithtown NY 11787-3754 |
| Practice Telephone | 6319208300 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093355802 | Nicole Estrada | Peer Specialist | 7 Railroad Ave, Middletown, NY 10940-4907 | 2020-01-09 |
| 1063076990 | Nicole Estrada | Technician | 6128 W Sahara Ave, Las Vegas, NV 89146-3051 | 2019-04-25 |
| 1114428158 | Nicole D Estrada | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-02-26 |
| 1093073439 | Nicole Marie Estrada | Counselor | 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2012-04-23 |
| Street Address |
11 ROUTE 111 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-3754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841200011 | Tara Marie Brunswick | Social Worker | 11 Route 111, Smithtown, NY 11787-3712 | 2006-08-09 |
| 1528667565 | Aleah Sophia Innis | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-10-21 |
| 1174120018 | Andrea Lynn Crisci | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-10-05 |
| 1811504491 | Katie Hodgson | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-09-28 |
| 1659981470 | Kelly Sass | Registered Nurse | 11 Route 111, Smithtown, NY 11787-3754 | 2020-08-06 |
| 1588298731 | New Horizons | Social Worker | 11 Route 111, Smithtown, NY 11787-3754 | 2020-02-26 |
| 1972135481 | April Marie Lee | Registered Nurse | 11 Route 111, Smithtown, NY 11787-3754 | 2020-02-12 |
| 1538791702 | Talia Renee Hughes | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-02-06 |
| 1861032260 | Maryclare Anderson | Case Manager/Care Coordinator | 11 Route 111, Smithtown, NY 11787-3754 | 2020-01-14 |
| 1770123184 | Guillermo F Sandoval | Social Worker | 11 Route 111, Smithtown, NY 11787-3754 | 2020-01-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944538 | Karen Joan Nigro | Case Manager/Care Coordinator | 6 Valant Ct, Smithtown, NY 11787-4205 | 2020-02-12 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| 1083154165 | Alicia Tracy | Case Manager/Care Coordinator | 15 Loft Rd, Smithtown, NY 11787-4115 | 2017-03-08 |
| 1861874083 | Monica Liberato | Case Manager/Care Coordinator | 55 Churchill Ln, Smithtown, NY 11787-4039 | 2015-06-24 |
| 1407253099 | Christie Errico | Case Manager/Care Coordinator | 111 Hauppauge Rd, Smithtown, NY 11787 | 2014-11-25 |
| 1891315743 | Eric Wills | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2020-04-21 |
| 1861032260 | Maryclare Anderson | Case Manager/Care Coordinator | 11 Route 111, Smithtown, NY 11787-3754 | 2020-01-14 |
| 1437799509 | Dani Mason | Case Manager/Care Coordinator | 11 Route 111, Smithtown, NY 11787-3754 | 2020-01-07 |
| 1831736420 | Dawn Marie Stevens | Case Manager/Care Coordinator | 11 Route 111, Smithtown, NY 11787-3754 | 2019-12-03 |
| 1194366138 | Cheryl M. Krupa-simms | Case Manager/Care Coordinator | 11 Route 111, Smithtown, NY 11787-3754 | 2019-10-01 |
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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.