MRS. JESSICA MARA BRAULT (NPI# 1023572393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023572393 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA MARA BRAULT |
| Credential | RN |
| Practice Address |
249 Totem Trl Rochester NY 14617-2473 |
| Practice Telephone | 5854557383 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
483727 | NY | Nursing Service Providers |
| Street Address |
249 TOTEM TRL |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14617-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625148 | Taylor Barrett | Speech-Language Pathologist | 350 Cooper Road, Rochester, NY 14617 | 2019-12-04 |
| 1326517608 | Matthew Richard Vandermeid | Student in an Organized Health Care Education/Training Program | 161 Sethland Dr., Rochester, NY 14617 | 2018-11-16 |
| 1174031652 | Joseph Tshamala | Chiropractor | 2164 Hudson Ave., Rochester, NY 14617 | 2018-01-18 |
| 1043585599 | Shannon Nichole Fridd | Speech-Language Pathologist | 350 Cooper Rd., Rochester, NY 14617 | 2012-03-16 |
| 1861777112 | Todd M Schoen | Pharmacist | 525 Titus Avenue, Rochester, NY 14617 | 2011-10-19 |
| 1225317266 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 304 Daley Blvd, Rochester, NY 14617 | 2011-08-09 |
| 1407135445 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 404 Rogers Pkwy, Rochester, NY 14617 | 2011-08-09 |
| 1316226350 | Easter Seals of Ny, Inc | Intermediate Care Facility, Mental Illness | 302 Daley Boulevard, Rochester, NY 14617 | 2011-08-09 |
| 1215225602 | Alberto Ramon Cebollero | Psychologist | 402 Rogers Parkway, The Kessler Center, Rochester, NY 14617 | 2011-07-19 |
| 1487893269 | Stepping Stones Learning Center | Early Intervention Provider Agency | 2111 Hudson Ave, Rochester, NY 14617 | 2009-02-18 |
| Find all providers in zip 14617 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023909 | Joshua Ryan Fox | Registered Nurse | 97 Lianne Dr, Rochester, NY 14626-5337 | 2020-11-06 |
| 1881209252 | Emily Francesca | Registered Nurse | 80 Corona Rd, Rochester, NY 14615-2643 | 2020-09-12 |
| 1033727649 | Samantha Ashley Hedges | Registered Nurse | 3 Mountain Ln Apt 3c, Rochester, NY 14625-2502 | 2020-07-20 |
| 1255968087 | Anna Marie Marcy | Registered Nurse | 44 Dundas Dr, Rochester, NY 14625-1369 | 2020-03-23 |
| 1225594443 | Raleigh Galbraith | Registered Nurse | 95 Dartmouth St Apt 2, Rochester, NY 14607-2842 | 2019-02-12 |
| 1518317478 | Christina Altobello | Registered Nurse | 93 Essla Dr, Rochester, NY 14612-2228 | 2016-06-21 |
| 1467830521 | Canaverell Sullivan | Registered Nurse | 1047 Emerson St Apt D, Rochester, NY 14606-2744 | 2015-05-09 |
| 1346667979 | Sarah Miller | Registered Nurse | 120 Woodcroft Dr, Rochester, NY 14616-1421 | 2014-03-20 |
| 1225260516 | Jennifer Kuhn | Registered Nurse | 57 Park Ave, Rochester, NY 14606-3816 | 2009-08-20 |
| 1003094863 | Barbara J Knope | Registered Nurse | 128 Greystone Ln Apt 10, Rochester, NY 14618-4917 | 2008-02-04 |
| Find all providers in ROCHESTER | ||||
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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.