ALEXIS VANDERESSEN (NPI# 1649625328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649625328 |
| Entity Type | Individual |
| Full Name | ALEXIS VANDERESSEN |
| Practice Address |
396 St Andrews Rd Walden NY 12586-2720 |
| Practice Telephone | 8457284030 |
| Mailing Telephone | 8457284030 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
396 ST ANDREWS RD |
| City | WALDEN |
| State | NY |
| Zip Code | 12586-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396098000 | A Class 1-s Transportation Corporation | Non-emergency Medical Transport (VAN) | 56 Monro Street, Walden, NY 12586 | 2012-10-18 |
| 1851572978 | Cynthia Grant | Licensed Practical Nurse | 336 Derea Rd., Walden, NY 12586 | 2007-11-16 |
| 1568657005 | Walden Medical, Pllc | Physician Assistant | 142 South Montgomery St, Walden, NY 12586 | 2007-09-07 |
| 1053495176 | Samuel Michael Cerone | Physical Therapist | 152 Orange Ave, Walden, NY 12586 | 2006-10-25 |
| 1851480883 | Faisal Uppal | Dentist | 10 Orchard St., Hampton Family Dentistry of Walden, Walden, NY 12586 | 2006-10-11 |
| 1376649335 | Lcl Physical Therapy | Physical Therapist | 152 Orange Avenue, Orange Physical Therapy, Walden, NY 12586 | 2006-09-16 |
| 1649372988 | Khanjee Pharmacy Inc | Pharmacy | 38 Grant Street, Walden, NY 12586 | 2006-09-05 |
| 1760446389 | Donald P Segal | Podiatrist | 13 Orange Ave, Walden, NY 12586 | 2006-04-12 |
| 1568939627 | Karen J Schreiber | Registered Nurse | 21 Pleasant Ave, Walden, NY 12586 | 2018-10-26 |
| 1578786109 | Yoo Seok Lee | Dentist | 57 Main Street, Walden, NY 12586 | 2007-04-11 |
| Find all providers in zip 12586 | ||||
| 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 |
|---|---|---|---|---|
| 1033471024 | Rosa N Aizprua | Case Manager/Care Coordinator | 126 East Ave, Walden, NY 12586-1552 | 2012-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255220 | Nelcy M Garcia De Leon | Case Manager/Care Coordinator | 11 Thamsen Dr, Stony Point, NY 10980-1054 | 2020-11-06 |
| 1003416769 | Mashhura Rofieva | Case Manager/Care Coordinator | 1733 Sheepshead Bay Rd Ste 16, Brooklyn, NY 11235-3743 | 2020-10-30 |
| 1285234369 | David Olmedo | Case Manager/Care Coordinator | 3192 Rawlins Ave, Bronx, NY 10465-1340 | 2020-10-28 |
| 1144829326 | Perel Langsam | Case Manager/Care Coordinator | 14 Jeffrey Pl, Monsey, NY 10952-5702 | 2020-10-20 |
| 1609474295 | Akyra M. Green | Case Manager/Care Coordinator | 11 Dobson Ave, Merrick, NY 11566-4127 | 2020-10-15 |
| 1578161162 | Elizabeth Anna Rubin | Case Manager/Care Coordinator | 3513 Broadway Apt 2l, Astoria, NY 11106-1162 | 2020-10-15 |
| 1033717855 | Sarah Bruck | Case Manager/Care Coordinator | 14 Melnick Dr, Monsey, NY 10952-3328 | 2020-10-14 |
| 1831797091 | Yuliya Levakova | Case Manager/Care Coordinator | 146 Macfarland Ave, Staten Island, NY 10305-4448 | 2020-10-10 |
| 1861009383 | Faith Gibbs | Case Manager/Care Coordinator | 13038 224th St, Laurelton, NY 11413-1244 | 2020-09-29 |
| 1316554074 | Sherry Ann Brion | Case Manager/Care Coordinator | 126 W Chemung St Ste 103, Painted Post, NY 14870-1300 | 2020-09-28 |
| 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.