KATIE MIKOS (NPI# 1922455773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922455773 |
| Entity Type | Individual |
| Full Name | KATIE MIKOS |
| Practice Address |
2900 Delaware Ave Kenmore NY 14217-2309 |
| Practice Telephone | 7168719883 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2900 DELAWARE AVE |
| City | KENMORE |
| State | NY |
| Zip Code | 14217-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144282385 | Tina Marie Degeorge | Physical Therapist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2006-04-04 |
| 1235740879 | Yee Ting Siu | Audiologist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-08-16 |
| 1245853951 | Taylor M Wagner | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-05-28 |
| 1114540135 | Eric M Mandel | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-05-26 |
| 1417576547 | Diversified Services for Occupational Therapy, Physical Therapy, Speec | Physical Medicine & Rehabilitation | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-04-09 |
| 1275166316 | Christina Marie Kurtz | Case Manager/Care Coordinator | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-18 |
| 1518590868 | Michelle Murphy | Case Manager/Care Coordinator | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-14 |
| 1679105472 | Katherine Elizabeth Calogero | Physical Therapist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-10 |
| 1639701824 | Phoebe Gillis Buscaglia | Occupational Therapist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-06 |
| 1083246276 | Amanda Ziomek | Occupational Therapist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1770994881 | Kenmore Family Medicine | Family Medicine | 2914 Elmwood Avenue, Kenmore, NY 14217 | 2014-05-12 |
| 1144576265 | Elizabeth Anne Leiser | Nurse Practitioner | 274 W Girard Blvd, Kenmore, NY 14217 | 2012-07-26 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1013291095 | Sharon Karnyski | Physical Therapist | 2900 Delaware Avenu, Kenmore, NY 14217 | 2011-10-07 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1538466511 | Diane J. Sutter, M.d., LLC | Obstetrics & Gynecology | 3800 Delaware Avenue, Suite 102, Kenmore, NY 14217 | 2011-02-28 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1558985002 | Thomas Earl Lewis Jr. | Case Manager/Care Coordinator | 262 Woodward Ave, Kenmore, NY 14217-1539 | 2020-06-01 |
| 1275166316 | Christina Marie Kurtz | Case Manager/Care Coordinator | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-18 |
| 1518590868 | Michelle Murphy | Case Manager/Care Coordinator | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-14 |
| 1932603701 | Lynn Seagren Bass | Case Manager/Care Coordinator | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2018-03-19 |
| 1760986533 | Carrie Jo Tomasik | Case Manager/Care Coordinator | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2018-03-19 |
| 1942721568 | Florence Marie Vecchione | Case Manager/Care Coordinator | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2017-07-05 |
| 1780030841 | Tiffany Lea Ilkiwskyj | Case Manager/Care Coordinator | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2016-05-09 |
| 1720457880 | Mary Boguhn | Case Manager/Care Coordinator | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2015-09-18 |
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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.