NAOMI L MEHMEDOVIC (NPI# 1023626793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023626793 |
| Entity Type | Individual |
| Full Name | NAOMI L MEHMEDOVIC |
| Practice Address |
8324 Oswego Rd Ste D Liverpool NY 13090-1086 |
| Practice Telephone | 3156526551 |
| Practice Fax Number | 3156527039 |
| Mailing Telephone | 3156526551 |
| Mailing Fax Number | 3156527039 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F346097 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
F346097 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8324 OSWEGO RD STE D |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13090-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214821 | Kerry Prunotto Dal | Dietitian, Registered | 8403 Sugar Pine Circle, Liverpool, NY 13090 | 2020-08-05 |
| 1619536596 | Victoria Angela Didomenico | Licensed Practical Nurse | 4364 Princess Path, Liverpool, NY 13090 | 2019-06-13 |
| 1063987386 | Alison Fasano | Massage Therapist | 4205 Long Branch Rd., Clay Chiropractic/athlonmt/ste.3, Liverpool, NY 13090 | 2018-10-13 |
| 1275028540 | Alexis Marie Degennaro | Speech-Language Pathologist | 7672 Mountain Ash, Liverpool, NY 13090 | 2018-06-28 |
| 1164891560 | Lyndsey Noel Martin | Nurse Practitioner | 7953 Orion Path, Liverpool, NY 13090 | 2015-09-16 |
| 1326423765 | Mary Beth Witte | Occupational Therapist | 3774 State Route 31, Apt 1508, Liverpool, NY 13090 | 2015-07-28 |
| 1801274808 | Heather C Eldredge | Contractor | 104 Eagles Pointe Circle, Liverpool, NY 13090 | 2015-05-11 |
| 1881084861 | Brian Tarolli | Massage Therapist | 7960 Oswego Road, Liverpool, NY 13090 | 2015-01-29 |
| 1164825469 | Tara Hilmanowski | Nurse Practitioner | 7375 Oswego Rd Ste 1, Liverpool, NY 13090 | 2014-09-30 |
| 1609280452 | Samantha Whittemore | Registered Nurse | 7815 Anadale Lane, Liverpool, NY 13090 | 2014-06-19 |
| Find all providers in zip 13090 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859279 | Hannah G Pastuf | Nurse Practitioner | 7401 Farmstead Rd, Liverpool, NY 13088-4715 | 2020-07-27 |
| 1437793874 | Sarah Wells | Nurse Practitioner | 5112 W Taft Rd Ste H, Liverpool, NY 13088-4991 | 2019-10-29 |
| 1629637970 | Kelly Finn | Nurse Practitioner | 4820 W Taft Rd Ste 108, Liverpool, NY 13088-4865 | 2019-06-11 |
| 1669917605 | Jesmoneet Bobb-diallo | Nurse Practitioner | H10 Spruce Tree Cir, Liverpool, NY 13090-3340 | 2016-12-29 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1275529950 | Linda Anne Pryor | Nurse Practitioner | 1020 7th North St, Ste 220, Liverpool, NY 13088-6192 | 2005-09-27 |
| 1134732381 | Eleanor Gustke | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2020-08-27 |
| 1679191787 | Anna Elizabeth Salvagno | Nurse Practitioner | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2020-07-07 |
| 1669013439 | Stephanie Rech | Nurse Practitioner | 7375 Oswego Rd, Liverpool, NY 13090-3717 | 2019-10-03 |
| 1528620812 | Colleen Byrnes | Nurse Practitioner | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2019-07-08 |
| Find all providers in LIVERPOOL | ||||
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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.