AMY LYNN PETRIE (NPI# 1700071495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700071495 |
| Entity Type | Individual |
| Full Name | AMY LYNN PETRIE |
| Credential | LPN |
| Practice Address |
30951 Poole Rd Theresa NY 13691-2234 |
| Practice Telephone | 3154050888 |
| Mailing Telephone | 3154050888 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2013-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 264594 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154546000 | Amy R Petrie | Obstetrics & Gynecology | 5800 Heritage Landing Dr, Suite C, East Syracuse, NY 13057-9378 | 2007-04-16 |
| 1649386319 | Amy Viola Petrie | Physician Assistant | 2002 S 11th St, Niles, MI 49120-4074 | 2006-08-22 |
| Street Address |
30951 POOLE RD |
| City | THERESA |
| State | NY |
| Zip Code | 13691-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326429069 | Dawn Marie Degroat | Licensed Practical Nurse | 42298 Mew Connecticut Rd, Theresa, NY 13691 | 2015-06-17 |
| 1003199381 | Kristina Green | Speech-Language Pathologist | 25855 Dano Rd, Theresa, NY 13691 | 2011-09-23 |
| 1497823389 | Kaleanna A Weatherup-otero | Licensed Practical Nurse | 219 Pine Street, Theresa, NY 13691-0219 | 2006-12-01 |
| 1043355183 | Sandra M Tejkl | Licensed Practical Nurse | 218 Riverside Ave, Theresa, NY 13691-0285 | 2007-02-20 |
| 1407466071 | Ellen Norma Denise Gill | Dental Hygienist | 41277 County Route 15, Theresa, NY 13691-2028 | 2020-08-07 |
| 1063771772 | Rachel Beth Ogle | Licensed Practical Nurse | 33407 County Route 46, Theresa, NY 13691-2067 | 2012-05-15 |
| 1538441944 | Kelly Breen | Speech-Language Pathologist | 225 Pine St, Theresa, NY 13691-2103 | 2011-09-12 |
| 1104993260 | Pablo Otero | Registered Nurse | 219 Pine St, Theresa, NY 13691-2103 | 2006-11-30 |
| 1558509158 | Kathleen Ann Hilyer | Licensed Practical Nurse | 225 Riverside Ave, Theresa, NY 13691-2119 | 2009-02-04 |
| 1568944825 | Meghan Guler | Physical Therapist | 37112 County Route 46, Theresa, NY 13691-2202 | 2018-09-04 |
| Find all providers in zip 13691 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326429069 | Dawn Marie Degroat | Licensed Practical Nurse | 42298 Mew Connecticut Rd, Theresa, NY 13691 | 2015-06-17 |
| 1063771772 | Rachel Beth Ogle | Licensed Practical Nurse | 33407 County Route 46, Theresa, NY 13691-2067 | 2012-05-15 |
| 1972892651 | Todd C Reed | Licensed Practical Nurse | 102 Mill St, Theresa, NY 13691-2260 | 2011-04-01 |
| 1043355183 | Sandra M Tejkl | Licensed Practical Nurse | 218 Riverside Ave, Theresa, NY 13691-0285 | 2007-02-20 |
| 1497823389 | Kaleanna A Weatherup-otero | Licensed Practical Nurse | 219 Pine Street, Theresa, NY 13691-0219 | 2006-12-01 |
| 1558509158 | Kathleen Ann Hilyer | Licensed Practical Nurse | 225 Riverside Ave, Theresa, NY 13691-2119 | 2009-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| 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.