IVANNA HOLLY (NPI# 1992202279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992202279 |
Entity Type | Individual |
Full Name | IVANNA HOLLY |
Practice Address |
2037 Utica Ave Brooklyn NY 11234-3215 |
Practice Telephone | 7183775755 |
Mailing Telephone | 7183775755 |
Enumeration Date | 2018-04-12 |
Last Update Date | 2018-04-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
2037 UTICA AVE |
City | BROOKLYN |
State | NY |
Zip Code | 11234-3215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164457115 | Tony Grayson | Social Worker | 2037 Utica Ave, Brooklyn, NY 11234-3215 | 2006-07-11 |
1649804485 | Gloria Abramov | Social Worker | 2037 Utica Ave, Brooklyn, NY 11234-3234 | 2020-03-02 |
1447881917 | Semnoy Roache | Counselor | 2037 Utica Ave, Brooklyn, NY 11234-3215 | 2020-02-03 |
1649818956 | Shenika Mclean | Social Worker | 2037 Utica Ave, Brooklyn, NY 11234-3215 | 2019-12-17 |
1003452657 | Samuel Willard Finan | Social Worker | 2037 Utica Ave, Brooklyn, NY 11234-3215 | 2019-11-19 |
1376186049 | Merette Perri Gurin | Social Worker | 2037 Utica Ave, Brooklyn, NY 11234-3215 | 2019-10-24 |
1669014718 | Amanda James | Peer Specialist | 2037 Utica Ave, Brooklyn, NY 11234-3215 | 2019-10-10 |
1396392106 | Lance Jamison | Case Manager/Care Coordinator | 2037 Utica Ave, Brooklyn, NY 11234-3215 | 2019-08-26 |
1336796416 | Laaiqa Jones | Case Manager/Care Coordinator | 2037 Utica Ave, Brooklyn, NY 11234-3215 | 2019-08-22 |
1174178503 | Sugeily Gomez | Counselor | 2037 Utica Ave, Brooklyn, NY 11234-3215 | 2019-08-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
Find all providers in zip 11234 |
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 |
---|---|---|---|---|
1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
1225659923 | Renee S Peterkin | Peer Specialist | 1016 Ralph Ave, Brooklyn, NY 11236-1258 | 2020-05-04 |
1639704984 | Henry Smith | Peer Specialist | 236 Fountain Ave, Brooklyn, NY 11208-2516 | 2020-03-06 |
1811530595 | Shernold Michaud | Peer Specialist | 195 Montague Steet, Condo Unit K, 8th Floor, Brooklyn, NY 11201-3628 | 2019-10-24 |
1316592066 | Felix Alexander Barbour | Peer Specialist | 25 Flatbush Ave Ste 3, Brooklyn, NY 11217-2499 | 2019-08-08 |
1386019321 | Marta Josephine Jablonka I | Peer Specialist | 137 Dewitt Ave, Brooklyn, NY 11207 | 2015-12-02 |
1093186199 | Isaac Trieger | Peer Specialist | 1118 45th St Apt 1r, Brooklyn, NY 11219-2192 | 2015-10-14 |
1447859574 | Lynnedell Felinor | Peer Specialist | 2037 Utica Ave Ste 2, Brooklyn, NY 11234-3234 | 2020-10-20 |
1336746098 | Yeimi Felix | Peer Specialist | 1623 Kings Hwy, Brooklyn, NY 11229-1209 | 2020-10-06 |
1366057507 | Sean Alexander | Peer Specialist | 25 Flatbush Ave Ste 3, Brooklyn, NY 11217-2499 | 2020-09-14 |
Find all providers in BROOKLYN |
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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.