KETTLY CAZAUBON (NPI# 1912549049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912549049 |
| Entity Type | Individual |
| Full Name | KETTLY CAZAUBON |
| Practice Address |
567 Miller Ave Freeport NY 11520-6310 |
| Mailing Address |
1500 Route 112 Bldg 4 Port Jefferson Station NY 11776-8055 |
| Practice Telephone | 9175488917 |
| Mailing Telephone | 6317513000 |
| Mailing Fax Number | 6315096559 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
345151 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
567 MILLER AVE |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157154 | Barbara Chillemi | Registered Nurse | 56 Mackay Place, Freeport, NY 11520 | 2019-04-12 |
| 1588171631 | Lisa Frank | Nurse Practitioner | 150 Buffalo Ave, Freeport, NY 11520 | 2018-01-10 |
| 1447775838 | Julner Quettant Jr. | Physical Therapist | 63 St Marks Ave, Freeport, NY 11520 | 2017-08-07 |
| 1679003933 | Candice A R Greene | Speech-Language Pathologist | 12 Summers Place, Freeport, NY 11520 | 2017-06-19 |
| 1700310331 | Samantha Edwards | Psychologist | 6 Delisle Avenue, Freeport, NY 11520 | 2017-04-20 |
| 1275073769 | Dorothea Geiger | Behavior Technician | 90 Hillside Ave, Freeport, NY 11520 | 2017-03-02 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1861849135 | Daniel Lora | Acupuncturist | 140 Parsons Ave, Freeport, NY 11520 | 2016-05-17 |
| 1326413790 | Beatrice Jeanty | Registered Nurse | 619 South Long Beach Ave., Freeport, NY 11520 | 2015-12-10 |
| 1134505548 | Maria A. Meek | Nurse Practitioner | 334, West Merrick Rd., Freeport., NY 11520 | 2015-08-07 |
| Find all providers in zip 11520 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606064 | Catherine Lynn Rowan-collier | Nurse Practitioner | 389 Wilson Way, Freeport, FL 32439-5023 | 2020-07-13 |
| 1891310512 | Stephanie Esperance | Nurse Practitioner | 184 Delaware Ave, Freeport, NY 11520-1315 | 2020-06-09 |
| 1255971107 | Dorothy Nanong-rojas | Nurse Practitioner | 155 W Merrick Rd Ste 202, Freeport, NY 11520-3743 | 2020-01-08 |
| 1184012874 | Barbara Simms | Nurse Practitioner | 378 W Merrick Rd, Freeport, NY 11520-4125 | 2015-01-02 |
| 1366855884 | E & B Np Associates In Wellness; Corp | Nurse Practitioner | 53 E Merrick Rd, Suite 134, Freeport, NY 11520-4056 | 2014-06-03 |
| 1245671437 | Susan Marie Tuell | Nurse Practitioner | 667 W Fairview Rd, Freeport, IL 61032-9188 | 2013-07-16 |
| 1245326735 | Lee Attema | Nurse Practitioner | 905 N Gulf Blvd, Freeport, TX 77541-3907 | 2006-10-04 |
| 1285600601 | Michelle Leigh Volling | Nurse Practitioner | 750 S. Kiwanis Dr, Freeport, IL 61032 | 2006-02-25 |
| 1871599456 | Anna Elizabeth Davis | Nurse Practitioner | 50 Marquis Rd, Freeport, ME 04032-6477 | 2005-06-28 |
| 1821619701 | Angela La Dow | Nurse Practitioner | 1045 W Stephenson St, Freeport, IL 61032-4864 | 2020-05-01 |
| Find all providers in FREEPORT | ||||
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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.