NICOLE LYNN HOLDSWORTH (NPI# 1073005997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073005997 |
| Entity Type | Individual |
| Full Name | NICOLE LYNN HOLDSWORTH |
| Credential | NP |
| Practice Address |
140 Canal View Blvd Rochester NY 14623 |
| Mailing Address |
9080 Main Road West Bloomfield NY 14585-0104 |
| Practice Telephone | 5852795100 |
| Mailing Telephone | 5858808734 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
681624 | NY | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308708 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
140 CANAL VIEW BLVD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013992601 | Vijay Kumar Krishnamoorthy | Internal Medicine | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2005-12-07 |
| 1366893596 | Arica N Ferguson | Physician Assistant | 140 Canal View Blvd, Suite 103, Rochester, NY 14623 | 2016-06-29 |
| 1336452267 | Elizabeth Ann Butterer | Nurse Practitioner | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2010-07-20 |
| 1376757559 | Parag P Patel | Internal Medicine | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2007-05-09 |
| 1427130822 | Theresa Richardson | Physician Assistant | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-10-19 |
| 1477635795 | Marcia Keller | Nurse Practitioner | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-10-19 |
| 1427146745 | Pina C Spampanato | Physician Assistant | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-10-11 |
| 1730140401 | Maurice J. Vaughan | Internal Medicine | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-03-31 |
| 1649231317 | Roy S. Wiener | Internal Medicine | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-03-31 |
| 1376504795 | Thomas P. Stuver | Internal Medicine | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829047 | Ruhi Bedi Sondhi | Nurse Practitioner | 601 Elmwood Ave Fl Center4, Rochester, NY 14642-0001 | 2020-07-26 |
| 1346865920 | Christopher M Mccarty | Nurse Practitioner | 2400 S Clinton Ave Bldg D, Rochester, NY 14618-2668 | 2020-06-10 |
| 1811510555 | Stacey Sang | Nurse Practitioner | 400 Red Creek Dr Ste 220, Rochester, NY 14623-4281 | 2020-05-27 |
| 1093365280 | Brittany Lewis | Nurse Practitioner | 180 Sawgrass Dr Ste 220, Rochester, NY 14620-4651 | 2019-09-19 |
| 1245891431 | Julie Loce | Nurse Practitioner | 222 Alexander St Ste 2400, Rochester, NY 14607-4010 | 2019-06-27 |
| 1467013433 | Henry Robert Newcomb | Nurse Practitioner | 300 Crittendon Blvd, Rochester, NY 14642-0001 | 2019-06-21 |
| 1689159162 | Mariya A Canham | Nurse Practitioner | 2400 S Clinton Ave, Building H, Suite 150, Rochester, NY 14618-2668 | 2018-10-01 |
| 1013447747 | Lauren Beth Bartus | Nurse Practitioner | 601 Elmwood Ave # 619, Rochester, NY 14642-0001 | 2017-06-15 |
| 1730634502 | Susan Lee Riggan | Nurse Practitioner | 408 Meadow Brook Rd, Rochester, MI 48309-4452 | 2016-08-22 |
| 1093197857 | Katelynn Ann Coffey | Nurse Practitioner | 2350 Ridgeway Ave Ste B, Rochester, NY 14626-4127 | 2015-06-29 |
| 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.