MS. JAMIE S GANDULLA (NPI# 1023320439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023320439 |
| Entity Type | Individual |
| Full Name | MS. JAMIE S GANDULLA |
| Credential | RN |
| Practice Address |
20 Community Ln Liberty NY 12754-2851 |
| Mailing Address |
48 Mitteer Rd Hurleyville NY 12747-5429 |
| Practice Telephone | 8452928770 |
| Practice Fax Number | 8455132110 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 478680-1 | NY | Nursing Service Providers |
| Street Address |
20 COMMUNITY LN |
| City | LIBERTY |
| State | NY |
| Zip Code | 12754-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841221728 | Dennis James Moran | Social Worker | 20 Community Ln, Liberty, NY 12754-2851 | 2006-07-06 |
| 1508358508 | Joshua Jones | Social Worker | 20 Community Ln, Liberty, NY 12754-2851 | 2018-06-05 |
| 1174034243 | Sarah E Dittmar | Social Worker | 20 Community Ln, Liberty, NY 12754-2851 | 2017-10-17 |
| 1235680273 | Laurenne Walsh | Social Worker | 20 Community Ln, Liberty, NY 12754-2851 | 2016-10-14 |
| 1558810325 | Brenda Sherman | Social Worker | 20 Community Ln, Liberty, NY 12754-2851 | 2016-09-22 |
| 1801344031 | Jenny Dzurica | Social Worker | 20 Community Ln, Liberty, NY 12754-2851 | 2016-09-16 |
| 1811369036 | Valerie Burns | Counselor | 20 Community Ln, Liberty, NY 12754-2851 | 2015-10-27 |
| 1780091603 | Monica L Olivier | Social Worker | 20 Community Ln, Liberty, NY 12754-2851 | 2014-07-14 |
| 1811237118 | Louise A Noll | Social Worker | 20 Community Ln, Liberty, NY 12754-2851 | 2013-02-22 |
| 1003167123 | Chana S Schechter | Social Worker | 20 Community Ln, Liberty, NY 12754-2851 | 2012-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060749 | Tiffany Anne Huebsch | Registered Nurse | 52 Ferndale Loomis Rd, Liberty, NY 12754 | 2018-10-30 |
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1073093035 | Gelsomino and Davis Speech and Occupational Therapy | Case Management | 5 Triangle Rd Ste C, Liberty, NY 12754 | 2018-08-20 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1437401924 | Shannon Marie Ostrander | Social Worker | 20 Commmunity Lane, Liberty, NY 12754 | 2012-10-08 |
| 1962788554 | Jill M Holland | Occupational Therapy Assistant | 6 Weirk Ave, Liberty, NY 12754 | 2011-10-26 |
| 1962653790 | Sylvie B Acoulon | Social Worker | 20 Community Services, Liberty, NY 12754 | 2008-10-10 |
| 1568680767 | Melanie A Cavrell | Social Worker | 76 Nature Lake Rd Ofc, Liberty, NY 12754 | 2007-04-23 |
| 1922015817 | Helen Marian Burke | Advanced Practice Midwife | 23 High Street, Monticello, NY 12754 | 2006-08-02 |
| 1427087105 | Town of Liberty Volunteer Ambulance Corps Inc | Ambulance | 178 Mill St, Liberty, NY 12754 | 2006-07-03 |
| Find all providers in zip 12754 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255844981 | Matthew Goetz | Registered Nurse | 25 Carrier St, Liberty, NY 12754-1903 | 2017-11-16 |
| 1992238513 | Jonathan Wesley Tolman | Registered Nurse | 507 Locust St, Liberty, MO 64068-1025 | 2017-04-10 |
| 1023465515 | Jennifer Dawn Buterbaugh | Registered Nurse | 693 Butterbaugh Rd, Liberty, TN 37095-8236 | 2016-05-16 |
| 1962861948 | Maria Santiago-sosa | Registered Nurse | 192 Lindquist Rd, Ft Stewart, Hawks Clinics, Liberty, GA 31314 | 2016-02-18 |
| 1215394465 | Carrie Duncan | Registered Nurse | 18003 Ne 77th St, Liberty, MO 64068-8573 | 2016-01-19 |
| 1871975573 | April Winters | Registered Nurse | 10 Jordan Ave, Liberty, NY 12754-2112 | 2015-06-18 |
| 1952727117 | Kathryn Irene Barbehenn | Registered Nurse | 117 Champlin Ave, Liberty, NY 12754-1650 | 2014-03-12 |
| 1376984278 | Lacey Jean Beaver | Registered Nurse | 108 Buckley St, Liberty, NY 12754-1602 | 2013-07-09 |
| 1851642730 | Rebecca Lynn Rielly | Registered Nurse | 3 Timberwolf Rd, Unit 57, Liberty, NY 12754-3348 | 2012-10-02 |
| 1851660351 | Linda L. Shortall | Registered Nurse | 125 Buckley St, Liberty, NY 12754-1601 | 2011-12-29 |
| Find all providers in LIBERTY | ||||
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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.