MRS. BLAIR M WHITLEY (NPI# 1639782469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639782469 |
| Entity Type | Individual |
| Full Name | MRS. BLAIR M WHITLEY |
| Credential | NP |
| Practice Address |
300 Community Dr Manhasset NY 11030-3816 |
| Mailing Address |
20 Erland Rd Stony Brook NY 11790-1114 |
| Practice Telephone | 5165620100 |
| Mailing Telephone | 6318061358 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F346085-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 COMMUNITY DR |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659777 | Rudy Neptune | Anesthesiology | 300 Community Dr, Manhasset, NY 11030-3816 | 2005-06-15 |
| 1013518935 | Vikram Gajulapalli | Pharmacist | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-11-06 |
| 1568062396 | Caroline Smolenski | Nurse Anesthetist, Certified Registered | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-10-30 |
| 1265031256 | James Jiwon Song | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-10-20 |
| 1437757739 | Andy Sunwoo Lim | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-10-09 |
| 1548867450 | Shiva Moshtagh | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-10-04 |
| 1457968943 | Bryanna Colleen Kelly | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-28 |
| 1902412463 | Tara Shelley | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-09-21 |
| 1548875644 | Julius E Wilson Jr. | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-15 |
| 1114532215 | Sarah Iqbal | Pharmacy Technician | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114276300 | Lorna Murrine Smith | Nurse Practitioner | 1129 Nthrn Blvd Ste 101, Manhasset, NY 11030-3022 | 2012-09-03 |
| 1609040138 | Priscilla Samuel | Nurse Practitioner | 300 Community Drive 9 Tower, Manhasset, NY 11030 | 2008-04-16 |
| 1356956726 | Talia Roffel | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-09-12 |
| 1912511569 | Merzelie Casimir | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-09-01 |
| 1093325052 | Robert Steve Santana | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-08-05 |
| 1760009369 | Althea Webster-samuda | Nurse Practitioner | 330 Community Dr, Manhasset, NY 11030-3816 | 2020-06-29 |
| 1386283232 | Soledad Demicheri | Nurse Practitioner | 600 Community Dr, Manhasset, NY 11030-3802 | 2019-12-24 |
| 1992347504 | Kathie Lara Trimble | Nurse Practitioner | 1129 Northern Blvd Ste 101, Manhasset, NY 11030-3022 | 2019-10-15 |
| 1598313025 | Melodie Wanyi Lin | Nurse Practitioner | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-08-28 |
| 1619520376 | Cassandra L Jonaitis | Nurse Practitioner | 400 Community Dr, Manhasset, NY 11030-3815 | 2019-07-22 |
| Find all providers in MANHASSET | ||||
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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.