JANICE M AGEN (NPI# 1003063827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003063827 |
| Entity Type | Individual |
| Full Name | JANICE M AGEN |
| Other Name | JANICE M GIACOPPE |
| Credential | NP |
| Practice Address |
90 Presidential Plz 3rd Floor Syracuse NY 13202-2240 |
| Practice Telephone | 3154645210 |
| Practice Fax Number | 3154642141 |
| Mailing Telephone | 3154645210 |
| Mailing Fax Number | 3154642141 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2013-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 421076 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03500736 | 05 |
| Street Address |
90 PRESIDENTIAL PLZ 3RD FLOOR |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13202-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702278 | Michael P Sharak | Physician Assistant | 90 Presidential Plz, Firm B, Syracuse, NY 13202-2240 | 2005-07-01 |
| 1558978940 | Krista Marie Shanholtz | Family Medicine | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2020-09-29 |
| 1689299505 | Kimberly Ann Cerasani | Nurse Practitioner | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2020-06-16 |
| 1235609512 | Sara Marie Obrist | Social Worker | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2018-11-29 |
| 1063949816 | Catherine Bird Fessenden | Student in an Organized Health Care Education/Training Program | 90 Presidential Plz, Suite 300, Syracuse, NY 13202-2240 | 2017-05-11 |
| 1013469873 | Davia Gaelin Moss | Registered Nurse | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2016-10-27 |
| 1285183335 | Stacy Jo Mcclintic | Dietitian, Registered | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2016-09-30 |
| 1235590738 | Lara Kratochwill | Pharmacist | 90 Presidential Plz, Adult Medicine Clinic, Syracuse, NY 13202-2240 | 2016-03-10 |
| 1699144527 | Viktoria Kenney | Nurse Practitioner | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2015-09-22 |
| 1053789610 | Suny Upstate | Clinic/Center | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2015-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
| 1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
| 1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
| 1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
| 1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
| 1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
| 1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
| 1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
| Find all providers in zip 13202 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639730690 | Michelle L Lane | Nurse Practitioner | 301 Prospect Ave Fl 6, Syracuse, NY 13203-1807 | 2019-06-21 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1205241411 | Erin M. Kreifels | Nurse Practitioner | 277 E 17th St, Syracuse, NE 68446-5000 | 2014-06-25 |
| 1174675995 | Michelle Anne Dart | Nurse Practitioner | 3229 E. Genesee St., Syracuse, NY 13214 | 2007-01-18 |
| 1750470738 | Anna Marie Santoro | Nurse Practitioner | 800 Irving Ave Rm A202, Syracuse, NY 13210-2716 | 2006-10-11 |
| 1578582128 | Sean M Murphy | Nurse Practitioner | 144 Century Dr, Syracuse, NY 13209-2204 | 2006-07-18 |
| 1356304638 | Dana L Karash | Nurse Practitioner | 1120 E Genesee St, Syracuse, NY 13210-1912 | 2006-04-08 |
| 1679547392 | Jeanne E Pietrzak | Nurse Practitioner | 739 Irving Ave Ste 500, Syracuse, NY 13210-1664 | 2006-02-17 |
| 1073129029 | Kaitlyn Hazelmyer | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-09-16 |
| 1689299505 | Kimberly Ann Cerasani | Nurse Practitioner | 90 Presidential Plz, Syracuse, NY 13202-2240 | 2020-06-16 |
| Find all providers in SYRACUSE | ||||
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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.