MARK COLLIER (NPI# 1780231050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780231050 |
| Entity Type | Individual |
| Full Name | MARK COLLIER |
| Practice Address |
15 4th St Malone NY 12953-1340 |
| Practice Telephone | 5184818160 |
| Mailing Telephone | 5184818160 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499972 | Mark Collier | Nurse Practitioner | 8200 Highway 23, Belle Chasse, LA 70037-2607 | 2005-07-05 |
| 1205242534 | Mark Collier | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2014-07-08 |
| 1518090927 | Mark Chester Collier | Pharmacist | 509 Main St, Rockport, IN 47635-1429 | 2007-03-14 |
| Street Address |
15 4TH ST |
| City | MALONE |
| State | NY |
| Zip Code | 12953-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177820 | Jenna Law | Peer Specialist | 15 4th St, Malone, NY 12953-1340 | 2020-09-03 |
| 1962015917 | Jessica Defayette | Registered Nurse | 15 4th St, Malone, NY 12953-1340 | 2020-08-28 |
| 1194335125 | Wren Royal | Registered Nurse | 15 4th St, Malone, NY 12953-1340 | 2020-08-04 |
| 1972121994 | Kelly Spinner | Registered Nurse | 15 4th St, Malone, NY 12953-1340 | 2020-07-07 |
| 1124652037 | Janel Lynne Hanna | Registered Nurse | 15 4th St, Malone, NY 12953-1340 | 2020-02-29 |
| 1457991747 | Heloisa Bueno De Castro | Social Worker | 15 4th St, Malone, NY 12953-1340 | 2020-01-14 |
| 1033760087 | Nicholas Michael Harvey | Peer Specialist | 15 4th St, Malone, NY 12953-1340 | 2019-09-20 |
| 1255988382 | Lee Ann King | Peer Specialist | 15 4th St, Malone, NY 12953-1340 | 2019-08-22 |
| 1003469610 | Savannah Elizabeth Mitchell | Registered Nurse | 15 4th St, Malone, NY 12953-1340 | 2019-07-23 |
| 1639642267 | Nathalie Simprevil | Counselor | 15 4th St, Malone, NY 12953-1340 | 2019-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264356 | Ruth Ann Williamson | Nurse Practitioner | 31 Sixth St., Malone, NY 12953 | 2020-04-20 |
| 1780203760 | Heather Lynn Lauzon | Peer Specialist | 15 Fouth St, Malone, NY 12953 | 2020-04-10 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1164929212 | Cheryl Ann Grant | Registered Nurse | 15 Fourth Street, Malone, NY 12953 | 2018-04-06 |
| 1811408826 | Nancy Denis | Registered Nurse | 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 | 2017-10-17 |
| 1003325424 | Tara Lynn Ellis | Registered Nurse | 23 Husky Lane, Malone, NY 12953 | 2017-09-28 |
| 1578092185 | Shanna Lee Cayea | Peer Specialist | 31 6th Street, Malone, NY 12953 | 2017-06-07 |
| 1184007809 | Alice Hyde Medical Center | Home Health | 45 Sixth St, Malone, NY 12953 | 2015-06-30 |
| 1427303353 | Melissa J Benardot | Nurse Practitioner | 380 Cty Rt 57, Community Health Center, Malone, NY 12953 | 2012-07-17 |
| 1013272202 | Shafiu Oladele Ololade | Internal Medicine | 10 Third Street, Malone, NY 12953 | 2012-07-12 |
| Find all providers in zip 12953 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780203760 | Heather Lynn Lauzon | Peer Specialist | 15 Fouth St, Malone, NY 12953 | 2020-04-10 |
| 1578092185 | Shanna Lee Cayea | Peer Specialist | 31 6th Street, Malone, NY 12953 | 2017-06-07 |
| 1437764735 | Mackenzie Cara Wilson | Peer Specialist | 31 6th St, Malone, NY 12953-1246 | 2020-09-14 |
| 1578177820 | Jenna Law | Peer Specialist | 15 4th St, Malone, NY 12953-1340 | 2020-09-03 |
| 1104459379 | Philip Todd Horsley | Peer Specialist | 31 6th St, Malone, NY 12953-1246 | 2020-02-17 |
| 1235776634 | Peter Randolph Terrance | Peer Specialist | 31 6th St, Malone, NY 12953-1246 | 2019-12-04 |
| 1033760087 | Nicholas Michael Harvey | Peer Specialist | 15 4th St, Malone, NY 12953-1340 | 2019-09-20 |
| 1255988382 | Lee Ann King | Peer Specialist | 15 4th St, Malone, NY 12953-1340 | 2019-08-22 |
| 1700344389 | Laura Jeanne Nicholas | Peer Specialist | 31 6th St, Malone, NY 12953-1246 | 2019-03-03 |
| 1568929123 | Shayna Marie Travers | Peer Specialist | 31 6th St, Malone, NY 12953-1246 | 2019-03-01 |
| Find all providers in MALONE | ||||
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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.