SHELLY ANN FELICIANO (NPI# 1740772532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740772532 |
| Entity Type | Individual |
| Full Name | SHELLY ANN FELICIANO |
| Practice Address |
329 E 149th St Fl 4 Bronx NY 10451-5626 |
| Mailing Address |
1020 Calhoun Ave Fl 1 Bronx NY 10465-1911 |
| Practice Telephone | 3479282084 |
| Mailing Telephone | 7187692698 |
| Mailing Fax Number | 7182920208 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2019-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | LICENSE | 189119420 | 01 |
| Street Address |
329 E 149TH ST FL 4 |
| City | BRONX |
| State | NY |
| Zip Code | 10451-5626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134502271 | Leonor Walcott | Social Worker | 329 E 149th St Fl 4, Bronx, NY 10451-5601 | 2015-07-07 |
| 1851999098 | Hannah M Boston | Social Worker | 329 E 149th St Fl 4, Bronx, NY 10451-5626 | 2020-10-10 |
| 1689281875 | Teashanda S. Navedo | Behavior Technician | 329 E 149th St Fl 4, Bronx, NY 10451-5626 | 2020-09-30 |
| 1194331553 | Virginia Rodriguez | Specialist | 329 E 149th St Fl 4, Bronx, NY 10451-5626 | 2020-09-21 |
| 1932711611 | Soleidy Estevez | Specialist | 329 E 149th St Fl 4, Bronx, NY 10451-5626 | 2020-08-23 |
| 1134739311 | Shanell Pearl Kitt | Social Worker | 329 E 149th St Fl 4, Bronx, NY 10451-5626 | 2020-08-03 |
| 1649895939 | Arcadio C Diaz | Specialist | 329 E 149th St Fl 4, Bronx, NY 10451-5626 | 2020-06-11 |
| 1215566500 | Tara Hiteshew | Specialist | 329 E 149th St Fl 4, Bronx, NY 10451-5626 | 2020-04-07 |
| 1780219154 | Stefanie Matias | Case Manager/Care Coordinator | 329 E 149th St Fl 4, Bronx, NY 10451-5626 | 2020-03-06 |
| 1760014930 | Masiel Veras | Social Worker | 329 E 149th St Fl 4, Bronx, NY 10451-5626 | 2020-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
| 1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
| 1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
| 1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
| 1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
| 1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
| 1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
| Find all providers in zip 10451 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871637306 | Usa Optical LLC | Technician/Technologist | 316 E Fordham Rd, Bronx, NY 10458-5008 | 2007-02-17 |
| 1750433942 | Lens Land of Astoria | Technician/Technologist | 1955 Turnbull Ave, Bronx, NY 10473-2516 | 2007-01-17 |
| 1861857765 | Southern Eye Care Inc | Technician/Technologist | 953 Southern Blvd, Bronx, NY 10459-3428 | 2015-12-18 |
| 1003162280 | Aleksandr Shimunov | Technician/Technologist | 1550 University Ave, Bronx, NY 10452-1503 | 2012-07-25 |
| 1326182858 | Usa Optical LLC | Technician/Technologist | 2856 3rd Ave, Bronx, NY 10455-2717 | 2007-02-17 |
| 1720130578 | Lens Lab Express Inc | Technician/Technologist | 1998 Bruckner Blvd, Bronx, NY 10473-2500 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620313 | Retina Labs (usa), Inc. | Technician/Technologist | 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 | 2019-10-15 |
| 1184287823 | Tms Wellness Amherst LLC | Technician/Technologist | 8750 Transit Rd Ste 205, East Amherst, NY 14051-2610 | 2019-04-18 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1821598517 | Michele Marie Hunt | Technician/Technologist | 13 Seth Sq, Plattsburgh, NY 12901-1777 | 2018-02-19 |
| 1992204606 | Nicole Nowasell | Technician/Technologist | 83 Yvonne Ave, Cheektowaga, NY 14225-1133 | 2018-02-08 |
| 1194239897 | Michael Shklyar | Technician/Technologist | 1664 President St Apt 4k, Brooklyn, NY 11213-5579 | 2017-11-17 |
| 1295248151 | Pauletta Dickerson | Technician/Technologist | 18009 Jamaica Ave, Jamaica, NY 11432-5620 | 2017-11-13 |
| 1427465814 | Dara Goldrick | Technician/Technologist | 12 Pvt Lovett Ct, Blauvelt, NY 10913-1247 | 2014-07-17 |
| 1437410081 | Brooke A. Jensen | Technician/Technologist | 99305 Hickory Dr, Fort Drum, NY 13603-3416 | 2012-05-30 |
| 1275825481 | Irfan Ahmed | Technician/Technologist | 3857 Kings Hwy Apt 6a, Brooklyn, NY 11234-2920 | 2011-05-05 |
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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.