Jonnelle Hosannah, HAIR LOSS SPECILISTS

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

AEC-17-00789 Issued in NY

Practice address

18730 Keeseville Ave
Saint Albans, NY 11412-2332

Phone

(347) 495-0702

NPI assigned

Dec 9, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544313600000",
    "number": "1245701846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18730 KEESEVILLE AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122332",
            "telephone_number": "347-495-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18730 KEESEVILLE AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122332",
            "telephone_number": "347-495-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSANNAH",
        "first_name": "JONNELLE",
        "name_prefix": "Ms.",
        "credential": "HAIR LOSS SPECILISTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2018-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NY",
            "license": "AEC-17-00789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollis Star Drug Corp (Ace Pharmacy)
• Ebony Hood
• Hope Care Nurse Practitioner in Adult Health PC
• Ossa Princess Hope-Moore, OTR/L
• Lorna Arlene Hosang, MS. ED./S.I.
• Eustace A. Huggins, M.D.
• Tishalee Moesha Humber I
• Janell Humphrey
• Karen Humphrey
• Anika Hunter-Julien

• Prosthetics Case Management in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Prosthetics Case Management in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.