MRS. KATHLEEN ANN DEVARSO (NPI# 1972691707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972691707 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN ANN DEVARSO |
| Credential | CPNP |
| Practice Address |
55 N Ocean Ave Freeport NY 11520-3035 |
| Practice Telephone | 5163791535 |
| Practice Fax Number | 5162234962 |
| Mailing Telephone | 5163791535 |
| Mailing Fax Number | 5162234962 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F381099 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
55 N OCEAN AVE |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356439145 | South Nassau Pediatrics,llp | Pediatrics | 55 N Ocean Ave, Freeport, NY 11520-3035 | 2006-10-10 |
| 1225660533 | Jennifer Recenello | Counselor | 55 N Ocean Ave, Freeport, NY 11520-3074 | 2020-02-05 |
| 1154838464 | Nicole Beverly Gernhardt | Counselor | 55 N Ocean Ave, Freeport, NY 11520-3074 | 2018-01-08 |
| 1447778956 | Clayton Conanan | Counselor | 55 N Ocean Ave, Freeport, NY 11520-3074 | 2017-09-05 |
| 1447790134 | Emma Jeanette Guzman | Dentist | 55 N Ocean Ave, Freeport, NY 11520 | 2017-03-01 |
| 1316287964 | Cosmetic & Laser Dental Studio | Dentist | 55 N Ocean Ave, Freeport, NY 11520-3074 | 2013-02-19 |
| 1932230026 | Residential Experience In Adult Living, Inc | Counselor | 55 N Ocean Ave, 2nd Floor, Freeport, NY 11520 | 2007-03-08 |
| 1427146042 | Suanne Kowal-connelly | Pediatrics | 55 N Ocean Ave, Freeport, NY 11520-3035 | 2006-10-10 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629445846 | Bright Star Pediatric and Adolecent Center | Nurse Practitioner | 75 Bay Grove Blvd, Freeport, FL 32439-1725 | 2015-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. KATHLEEN ANN DEVARSO.
| 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.