CHASITY JACQUEL MYRTHIL (NPI# 1033771654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033771654 |
Entity Type | Individual |
Full Name | CHASITY JACQUEL MYRTHIL |
Credential | NP |
Practice Address |
4425 Old Ridge Rd Williamson NY 14589-9363 |
Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
Practice Telephone | 3154833280 |
Practice Fax Number | 3155894893 |
Mailing Telephone | 5859221900 |
Mailing Fax Number | 5859221002 |
Enumeration Date | 2019-07-03 |
Last Update Date | 2019-07-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
344413 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | CAQH | 14480124 | 01 |
Street Address |
4425 OLD RIDGE RD |
City | WILLIAMSON |
State | NY |
Zip Code | 14589-9363 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154369098 | Wayne Regional Orthopaedics Pllc | Clinic/Center | 4425 Old Ridge Rd, Ste 100, Williamson, NY 14589-0897 | 2006-06-03 |
1356749741 | Back To Health Chiropractic and Wellness | Exclusive Provider Organization | 4425 Old Ridge Rd, Williamson, NY 14589-9363 | 2014-12-17 |
1376945873 | Joseph Paul Wilson | Chiropractor | 4425 Old Ridge Rd, Williamson, NY 14589-9363 | 2014-09-16 |
1518373174 | Seanne Hennessey -brown X | Registered Nurse | 4425 Old Ridge Rd, Williamson, NY 14589-9363 | 2014-07-03 |
1922358852 | Hope J Monje | Nurse Practitioner | 4425 Old Ridge Rd, Williamson, NY 14589-9363 | 2012-09-18 |
1194950733 | Irshad A Merkand | Family Medicine | 4425 Old Ridge Rd, Williamson, NY 14589 | 2009-05-27 |
1942334388 | Michael Brandon Miller | Family Medicine | 4425 Old Ridge Rd, Williamson, NY 14589-9363 | 2007-03-16 |
1245302546 | Maureen Vancura | Nurse Practitioner | 4425 Old Ridge Rd, The Commons, Williamson, NY 14589-9363 | 2006-11-14 |
1346253986 | Jan M Walker | Pediatrics | 4425 Old Ridge Rd, Williamson, NY 14589-9363 | 2006-08-14 |
1356353023 | Sandra A Hellmann | Pediatrics | 4425 Old Ridge Rd, Williamson, NY 14589-9363 | 2006-08-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932622024 | Heather Rose Pryor | Nurse Practitioner | 4225 Old Ridge Rd, #100, Williamson, NY 14589 | 2017-07-20 |
1417306796 | Shaughna Szymanski Winslow | Dentist | Po Box 3, Williamson, NY 14589 | 2016-06-08 |
1023182409 | Brian K Boisvert | Non-emergency Medical Transport (VAN) | 5106 Ridge Road, Williamson, NY 14589 | 2006-11-20 |
1396832325 | James F Stohr | Physician Assistant | 4418 E. Ridge Road, Williamson, NY 14589 | 2006-10-10 |
1285717181 | Anita Prasad | Nurse Practitioner | 4418 E. Ridge Road, Williamson, NY 14589 | 2006-10-23 |
1841307360 | Williamson Medical Pllc | Allergy & Immunology | 4418 Ridge Rd E, Willamson Medical Pllc, Williamson, NY 14589 | 2006-08-23 |
1174699144 | Michael A Herbert | Dentist | 6127 Maple Ave, Williamson, NY 14589-0003 | 2006-11-28 |
1831214899 | Stephen M Nothnagle | Chiropractor | 3800 Railroad Ave., Williamson, NY 14589-0162 | 2007-03-20 |
1588090765 | Rena B Bulman | Licensed Practical Nurse | 4045 Circle Drive, Williamson, NY 14589-0298 | 2013-09-19 |
1033318407 | Latasha J. Felton | Registered Nurse | 6229 Lake Ave., Williamson, NY 14589-0411 | 2007-07-16 |
Find all providers in zip 14589 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932622024 | Heather Rose Pryor | Nurse Practitioner | 4225 Old Ridge Rd, #100, Williamson, NY 14589 | 2017-07-20 |
1497134308 | Eva White | Nurse Practitioner | 1070 County Farm Rd, Williamson, GA 30295 | 2015-05-26 |
1700354826 | Amanda Jo Varney | Nurse Practitioner | 183 E 2nd Ave, Williamson, WV 25661-3601 | 2018-11-06 |
1407209299 | Traci Thornsbury | Nurse Practitioner | 184 E 2nd Ave Ste 210, Williamson, WV 25661-3602 | 2016-07-18 |
1255705760 | Deborah Gail Epling | Nurse Practitioner | 184 E 2nd Ave Ste 210, Williamson, WV 25661-3602 | 2015-11-20 |
1477939825 | Kimberly N Bogar | Nurse Practitioner | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2015-08-08 |
1255748166 | Sidney Jerome Cline | Nurse Practitioner | 184 E 2nd Ave, Ste 210, Williamson, WV 25661-3602 | 2014-07-14 |
1922358852 | Hope J Monje | Nurse Practitioner | 4425 Old Ridge Rd, Williamson, NY 14589-9363 | 2012-09-18 |
1427323641 | Traci Lynn Booth | Nurse Practitioner | 184 E 2nd Ave Ste 1, Williamson, WV 25661-3602 | 2012-03-21 |
1245302546 | Maureen Vancura | Nurse Practitioner | 4425 Old Ridge Rd, The Commons, Williamson, NY 14589-9363 | 2006-11-14 |
Find all providers in WILLIAMSON |
City | WILLIAMSON |
Zip Code | 14589 |
Please comment or provide details below to improve the information on CHASITY JACQUEL MYRTHIL.
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.