KELLYANN PATRICIA CIVILETTI (NPI# 1770034373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770034373 |
| Entity Type | Individual |
| Full Name | KELLYANN PATRICIA CIVILETTI |
| Credential | AGPCNP-BC |
| Practice Address |
403 E 34th St Fl 3 New York NY 10016-4972 |
| Practice Telephone | 2122638134 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 646983 | NY | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308012 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
403 E 34TH ST FL 3 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016-4972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265579932 | Jonathan Carlin Berger | Transplant Surgery | 403 E 34th St Fl 3, New York, NY 10016-4907 | 2007-01-31 |
| 1912164948 | Jeanette Leonard | Nurse Practitioner | 403 E 34th St Fl 3, New York, NY 10016-4972 | 2008-05-19 |
| 1790950848 | Donna Helen Campbell | Nurse Practitioner | 403 E 34th St Fl 3, New York, NY 10016-4972 | 2008-04-29 |
| 1770753170 | Nabil Nuhad Dagher | Transplant Surgery | 403 E 34th St Fl 3, New York, NY 10016-4907 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
| 1912519950 | Lionel Thompson Jr. | Social Worker | Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 | 2020-08-20 |
| 1134755622 | Samantha Caldona | Behavior Technician | 205 East 35 Street, New York, NY 10016 | 2020-03-17 |
| 1104477504 | Jaclyn A. Silverman | Nurse Practitioner | 113 East 39th Street, New York, NY 10016 | 2019-09-26 |
| 1093376147 | Eskue Therapy, LLC | Massage Therapist | 130 East 40 Street, Ste. 1001, New York, NY 10016 | 2019-06-27 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1265096754 | Sharon Brenda Madanes | Student in an Organized Health Care Education/Training Program | Nyu Langone, 550 First Ave., New York, NY 10016 | 2019-04-30 |
| 1124589569 | Krupali Chokshi | Student in an Organized Health Care Education/Training Program | Nyu Langone Hospital, 550 First Ave., New York, NY 10016 | 2019-03-28 |
| 1982160909 | Sherell Miriam Harding | Behavioral Analyst | 204 35th St, New York, NY 10016 | 2019-02-14 |
| Find all providers in zip 10016 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1932708229 | Minkyung Lee | Nurse Practitioner | 560 Main St Apt 412, New York, NY 10044-0012 | 2020-10-19 |
| 1184231797 | Tingting Chen | Nurse Practitioner | 5618 7th Ave Brooklyn, New York, NY 11220 | 2020-09-28 |
| 1407462260 | Dukenson Bigot | Nurse Practitioner | 173 East 102nd Street, Apt 3e, New York, NY 10029-5723 | 2020-09-17 |
| 1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
| 1437760196 | Chelsea Florence Curione | Nurse Practitioner | 31 Washington Sq W Fl 4, New York, NY 10011-9172 | 2020-08-14 |
| 1538779343 | Molly Smith | Nurse Practitioner | 161 Fort Washington, Herbert Irving Pavilion, New York, NY 10032-1003 | 2020-08-06 |
| 1871101360 | Elke Kraus | Nurse Practitioner | 105 E 122nd St Apt 4e, New York, NY 10035-2821 | 2020-07-21 |
| 1942825138 | Barbara Cohen Np LLC | Nurse Practitioner | 16 W 16th St Apt 7ps, New York, NY 10011-6335 | 2020-06-12 |
| 1619590692 | Shaun Sorley | Nurse Practitioner | 12 Stuyvesant Oval Apt 9g, New York, NY 10009-2219 | 2020-05-25 |
| Find all providers in NEW YORK | ||||
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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.