KENNA ELMENDORF-BURNS (NPI# 1043264344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043264344 |
| Entity Type | Individual |
| Full Name | KENNA ELMENDORF-BURNS |
| Credential | PA-C |
| Practice Address |
1 Pinnacle Pl Suite 102 Albany NY 12203-3496 |
| Mailing Address |
1 Pinnacle Place Suite 102 Albany NY 12203 |
| Practice Telephone | 5186890244 |
| Mailing Telephone | 5186890244 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2017-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 003381 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 PINNACLE PL SUITE 102 |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-3496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303398 | William J Caramore | Internal Medicine | 1 Pinnacle Pl, Albany, NY 12203-3496 | 2005-08-15 |
| 1023497740 | Larry Michael Bruni | Internal Medicine | 1 Pinnacle Pl, Suite 102, Albany, NY 12203-3496 | 2015-05-27 |
| 1083015606 | Stephanie A. Do | Counselor | 1 Pinnacle Pl, Suite 102, Albany, NY 12203-3496 | 2014-09-15 |
| 1194152801 | Elizabeth M Tunison | Social Worker | 1 Pinnacle Pl, Suite 102, Albany, NY 12203-3496 | 2013-09-26 |
| 1710231907 | Albany Medical College | Internal Medicine | 1 Pinnacle Pl, Albany, NY 12203-3496 | 2012-11-09 |
| 1396011656 | Adult Medicine PC | Anesthesiology | 1 Pinnacle Pl, Suite 203, Albany, NY 12203-3496 | 2012-03-30 |
| 1467732123 | Michael Joseph Groudas | Social Worker | 1 Pinnacle Pl, Albany, NY 12203-3496 | 2011-08-25 |
| 1992000327 | Ilsie M Jimenez | Counselor | 1 Pinnacle Pl, Suite 102, Albany, NY 12203-3496 | 2011-01-15 |
| 1205139458 | Catherine Elizabeth Richardson | Counselor | 1 Pinnacle Pl, Suite 102, Albany, NY 12203-3496 | 2010-12-09 |
| 1811207269 | Ronald Jay Hamer | Psychologist | 1 Pinnacle Pl, Albany, NY 12203-3496 | 2010-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1407409113 | Morgan Shumway | Physician Assistant | 50 New Scotland Ave # Mc191, Albany, NY 12208-3403 | 2019-07-22 |
| 1588136279 | Christine Ciavarella | Physician Assistant | 405 Kains Ave Ste 205, Albany, CA 94706-1270 | 2018-12-19 |
| 1225503535 | Maura Kathleen Corbett | Physician Assistant | 43 New Scotland Ave Mc-139, Department of Emergency Medicine, Albany, NY 12208-3478 | 2018-10-12 |
| 1669966743 | Kimberly Aebli | Physician Assistant | 47 New Scotland Ave Mc 101, Albany, NY 12208 | 2018-06-21 |
| 1255844643 | Erica Francesca Lari Parks | Physician Assistant | 530 Kinkead Way Apt 205, Albany, CA 94706-2656 | 2017-11-08 |
| 1306376934 | Elisabeth Catherine Henderson | Physician Assistant | 98 Wolf Rd Ste 16, Albany, NY 12205-1226 | 2017-06-15 |
| 1417306374 | Larry James Edwards | Physician Assistant | 2030 Newton Rd, Albany, GA 31701-3520 | 2016-06-10 |
| 1477923019 | Cheyenne Allen Boone | Physician Assistant | 47 New Scotland Ave Mc-139, Albany Medical Center Dept Emergency Medicine, Albany, NY 12208-3412 | 2015-09-25 |
| 1396148300 | Tina Huang | Physician Assistant | 15 Norman Ave, Albany, NY 12203-5005 | 2014-10-03 |
| Find all providers in ALBANY | ||||
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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.