ARGELIA NURSE PRACTITIONER IN ADULT HEALTH PC (NPI# 1699290288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699290288 |
Entity Type | Organization |
Organization Name | ARGELIA NURSE PRACTITIONER IN ADULT HEALTH PC |
Other Organization Name | LIGHTHOUSE ADULT HEALTH |
Practice Address |
200 Howells Rd Bay Shore NY 11706-5351 |
Mailing Address |
96 Huron Dr Bay Shore NY 11706-3718 |
Practice Telephone | 6312783452 |
Practice Fax Number | 6312783452 |
Mailing Telephone | 6312783452 |
Enumeration Date | 2017-08-04 |
Last Update Date | 2018-06-16 |
Authorized Official Name | ARGELIA DIAZ (ADULT NURSE PRACTITIONER) |
Authorized Official Telephone | 6312783452 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03784847 | 05 | |
NY | HEALTHFIRST | F306138-A85 | 01 |
NY | AETNA | 17803991 | 01 |
NY | UNITED HEALTHCARE | 003750083003 | 01 |
Other Name | Type Code |
---|---|
Lighthouse Adult Health | Doing Business As Name - Organization |
Street Address |
200 HOWELLS RD |
City | BAY SHORE |
State | NY |
Zip Code | 11706-5351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235134602 | Mark R Siegelheim | Internal Medicine | 200 Howells Rd, Bay Shore, NY 11706-5300 | 2005-06-14 |
1982071619 | Mjl Medical Healthcare P.C. | Surgery | 200 Howells Rd, Bay Shore, NY 11706-5351 | 2015-08-28 |
1447658844 | Brightwater Dental Care PC | Dentist | 200 Howells Rd, Bay Shore, NY 11706-5351 | 2014-12-17 |
1619229820 | Argelia Diaz | Nurse Practitioner | 200 Howells Rd, Ste 4, Bay Shore, NY 11706-5351 | 2012-10-11 |
1891023446 | Kathleen Knacke | Licensed Practical Nurse | 200 Howells Rd, Bay Shore, NY 11706-5351 | 2009-11-19 |
1326292061 | Ar Testing Corp | Clinic/Center | 200 Howells Rd, Suite A, Bay Shore, NY 11706-5351 | 2008-11-07 |
1255533360 | Brightwaters Internal Medicine Pllc | Internal Medicine | 200 Howells Rd, Bay Shore, NY 11706-5300 | 2007-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
Find all providers in zip 11706 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073175600 | John F Young | Nurse Practitioner | 301 E Main St # Pst, Bay Shore, NY 11706-8408 | 2019-07-03 |
1003476631 | Cheryl Schoedler | Nurse Practitioner | 1075 Cassel Ave, Bay Shore, NY 11706-6115 | 2019-06-17 |
1184148827 | Elizabeth Bonilla | Nurse Practitioner | 301 E Main St Bldg 217, Bay Shore, NY 11706-8408 | 2017-08-02 |
1265858377 | Princy Paulson | Nurse Practitioner | 26 Debora Ct, Bay Shore, NY 11706-4056 | 2014-03-13 |
1043599319 | Iverine M Anderson | Nurse Practitioner | 24 Princeton Street, Bay Shore, NY 11706-4237 | 2011-08-04 |
1780815480 | Nicole Louis Beaubrun | Nurse Practitioner | 1211 Howells Rd, Bay Shore, NY 11706-1945 | 2009-07-30 |
1346425352 | Cori Lynn Murphy-phillips | Nurse Practitioner | 116 S Penataquit Ave, Bay Shore, NY 11706-8825 | 2008-01-08 |
1457540601 | Joseph A Fasano | Nurse Practitioner | 280 Montauk Highway, Bay Shore, NY 11706-9182 | 2007-10-23 |
1346895521 | Andrea Alvarado | Nurse Practitioner | 301 E Main St, Bay Shore, NY 11706-8408 | 2019-08-05 |
1770009326 | Crystal Wells | Nurse Practitioner | 39 Brentwood Rd, Bay Shore, NY 11706-8031 | 2017-08-16 |
Find all providers in BAY SHORE |
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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.