Provider Demographics
NPI:1851776801
Name:GILLINGS-SCHEMBECK, KERI ALANNA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:ALANNA
Last Name:GILLINGS-SCHEMBECK
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1222
Mailing Address - Country:US
Mailing Address - Phone:718-640-3469
Mailing Address - Fax:
Practice Address - Street 1:114 EMERSON AVE
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-1222
Practice Address - Country:US
Practice Address - Phone:718-640-3469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-20
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF306541-1363LA2200X
NYF343650363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health