ERICA CRANDALL (NPI# 1033581053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033581053 |
| Entity Type | Individual |
| Full Name | ERICA CRANDALL |
| Practice Address |
56 Market St Potsdam NY 13676-1747 |
| Practice Telephone | 3152654065 |
| Practice Fax Number | 3152650012 |
| Mailing Telephone | 3152654065 |
| Mailing Fax Number | 3152650012 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
507689-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992989545 | Erica Crandall | Developmental Therapist | 1545 W Pearson St Apt 2e, Chicago, IL 60622-5217 | 2007-12-18 |
| Street Address |
56 MARKET ST |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952407033 | Health Services of Northern New York, Inc. | Home Health | 56 Market St, Potsdam, NY 13676-1747 | 2006-09-15 |
| 1780189498 | Melissa Rizzo | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2018-03-26 |
| 1437653474 | Kristin Lee Lashomb | Licensed Practical Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2018-03-23 |
| 1427558782 | Jackalyn Despaw | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2018-02-13 |
| 1821512526 | Rebecca Anne Mccormick | Occupational Therapy Assistant | 56 Market St, Potsdam, NY 13676-1747 | 2017-08-03 |
| 1518481951 | Melissa Marie Valcour | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2017-07-27 |
| 1699297341 | Jessica A Matthews | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2017-07-14 |
| 1093242745 | Brandy Kelley | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2017-05-12 |
| 1669912861 | Carrie Bascom | Licensed Practical Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2017-03-07 |
| 1891230215 | Jena Cryderman | Physical Therapy Assistant | 56 Market St, Potsdam, NY 13676-1747 | 2016-12-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427558782 | Jackalyn Despaw | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2018-02-13 |
| 1518481951 | Melissa Marie Valcour | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2017-07-27 |
| 1699297341 | Jessica A Matthews | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2017-07-14 |
| 1093242745 | Brandy Kelley | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2017-05-12 |
| 1093257313 | Kayla Grant | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2016-11-17 |
| 1104282250 | Amy Skeldon | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2016-01-05 |
| 1457723306 | Heather Stone | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2015-10-30 |
| 1093187247 | Teresa Ann Hastings | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2015-10-28 |
| 1043565286 | Ashley Lynn Elliott | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2012-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649889197 | Larisa Yushuva | Registered Nurse | 7741 170th St, Fresh Meadows, NY 11366-1345 | 2020-07-29 |
| 1457978165 | Anthony Ugbala | Registered Nurse | 450 Baldwin Ave, North Baldwin, NY 11510-2501 | 2020-06-29 |
| 1285254185 | Paula Rose Brooks-obas | Registered Nurse | 166 Brown Ave, Hempstead, NY 11550-7139 | 2020-04-21 |
| 1093349870 | Phyllis Mcevoy | Registered Nurse | 225 Central Dr, Briarcliff Manor, NY 10510-1212 | 2020-03-02 |
| 1548891450 | Veronica Lopez-santana | Registered Nurse | 20 Pierces Rd Apt 61, Newburgh, NY 12550-3244 | 2020-01-29 |
| 1073159398 | Tanya Cornelius | Registered Nurse | 12 S Hedley St, Cheektowaga, NY 14206-2508 | 2019-11-21 |
| 1770129173 | Donna Patricia Parchment | Registered Nurse | 12039 198th St, Saint Albans, NY 11412-3729 | 2019-11-20 |
| 1255982831 | Luz Deliz Santana | Registered Nurse | 76 Starr St Apt 3a, Brooklyn, NY 11237-2299 | 2019-09-24 |
| 1558924118 | Marie Roosevelt Mallebranche | Registered Nurse | 25742 145th Ave, Rosedale, NY 11422-3315 | 2019-04-19 |
| 1336609585 | Caroline Ortiz | Registered Nurse | 1982 University Ave Apt 1d, Bronx, NY 10453-4414 | 2019-03-22 |
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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.