RAQUEL SHIVANNA SOOKRAM (NPI# 1841807799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841807799 |
| Entity Type | Individual |
| Full Name | RAQUEL SHIVANNA SOOKRAM |
| Credential | FNP |
| Practice Address |
5505 Myrtle Ave Ridgewood NY 11385-3550 |
| Mailing Address |
10922 123rd St South Ozone Park NY 11420-1424 |
| Practice Telephone | 7184716454 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F346461-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5505 MYRTLE AVE |
| City | RIDGEWOOD |
| State | NY |
| Zip Code | 11385-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316128564 | Melinda H Sohval | Nurse Practitioner | 147 Walthery Ave, Ridgewood, NJ 07450-3507 | 2007-11-15 |
| 1811022726 | Lanie V Herrera | Nurse Practitioner | 66-55 Fresh Pond Rd, Ridgewood, NY 11385 | 2007-02-22 |
| 1265475693 | Annette Barragan | Nurse Practitioner | 20 W Ridgewood Ave # 7, Ridgewood, NJ 07450-3117 | 2006-06-14 |
| 1619920766 | Laurie Ann Ruta Dicorcia | Nurse Practitioner | 1200 E Ridgewood Ave Ste 304, Ridgewood, NJ 07450 | 2006-05-18 |
| 1407823149 | Ramona M Glaser | Nurse Practitioner | 265 Ackerman Ave, Ste 101, Ridgewood, NJ 07450 | 2006-03-01 |
| 1730564188 | Diana Marie Constantino | Nurse Practitioner | 1124 E Ridgewood Ave, Suite 103, Ridgewood, NJ 07450-3915 | 2015-07-28 |
| 1104210301 | Marianne Marie Longo | Nurse Practitioner | 1200 E Ridgewood Ave, 2nd Floor, Ridgewood, NJ 07450-3957 | 2015-03-25 |
| 1982094033 | Gladys Reyes | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2015-01-28 |
| 1154738540 | Allison Weiss Langowski | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2736 | 2014-07-17 |
| 1932411857 | Anita Marie Basenese | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2010-07-08 |
| Find all providers in RIDGEWOOD | ||||
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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.