MS. THEODORA MONTELL CROSS RNMSCNSANP-BCCDE NPI 1972751691

NPI Information

  • NPI: 1972751691
  • Provider Name: MS. THEODORA MONTELL CROSS, RN,MS,CNS,ANP-BC,CDE
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 79 COTTAGE PL
    STATEN ISLAND, NY
    ZIP 10302
  • Phone: (718) 816-8423

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NPI Details

MS. Theodora Montell Cross, RN,MS,CNS,ANP-BC,CDE is an adult health nurse practitioner in Staten Island, NY. MS. Theodora Montell Cross, RN,MS,CNS,ANP-BC,CDE NPI is 1972751691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

79 COTTAGE PL
STATEN ISLAND, NY
ZIP 10302-522
Phone: (718) 816-8423
Fax: (718) 816-5024

The NPI 1972751691 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/5/2008 and was last updated on 9/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthF304508NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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