MRS. TRACEY JO RHEAUME


Address: 725 Irving Avenue Suite 112, Center for Neurodevelopmemtl Pediatrics Crouse Pob, Syracuse, NY 13210-1624
Phone: 3154642089

MRS. TRACEY JO RHEAUME (NPI# 1114180015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114180015
Entity Type Individual
Full Name MRS. TRACEY JO RHEAUME
Credential PNP
Practice Address 725 Irving Avenue Suite 112
Center for Neurodevelopmemtl Pediatrics Crouse Pob
Syracuse
NY 13210-1624
Mailing Address 750 E Adams St
Dept of Pediatrics
Syracuse
NY 13210-2342
Practice Telephone 3154642089
Practice Fax Number 3154646398
Mailing Telephone 3154642089
Mailing Fax Number 3154646398
Enumeration Date 2008-07-10
Last Update Date 2008-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
F381083-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 725 IRVING AVENUE SUITE 112
CENTER FOR NEURODEVELOPMEMTL PEDIATRICS CROUSE POB
City SYRACUSE
State NY
Zip Code 13210-1624

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558973586 Maizie Marie Shaw Social Worker 660 Madison Street, Syracuse, NY 13210 2020-08-20
1427666916 Christine Marie Welker Registered Nurse 735 Irving Avenue, Syracuse, NY 13210 2020-07-21
1386263994 Ashwini Krishna Ashwath Student in an Organized Health Care Education/Training Program 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 2020-04-14
1073142329 Kamala Ojha Student in an Organized Health Care Education/Training Program 750-east Adam's Street, Syracuse, NY 13210 2020-04-07
1003442369 Brittany Nicole Lippert Counselor 615 Madison St, Syracuse, NY 13210 2020-03-19
1902430499 Dkt Physician Pllc Internal Medicine 475 Irving Ave, Suite 410, Syracuse, NY 13210 2020-02-24
1376194720 Sarah Van Eenenaam Physician Assistant Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 2019-09-26
1265099022 Michelle Gallagher Psychologist Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 2019-05-28
1639659428 Francesca Wanda Cotrupe Physical Medicine & Rehabilitation Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 2018-08-21
1700370327 Dallin Lindahl Physical Medicine & Rehabilitation 750 E Adams St # Jh308, Syracuse, NY 13210 2018-06-18
Find all providers in zip 13210

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902410186 Katie Elise Boyd Nurse Practitioner 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 2020-09-03
1023633427 Katherine Ellen Smith Nurse Practitioner 736 Irving Ave # 9100, Syracuse, NY 13210-1687 2020-06-11
1053575829 Tashika Gomez Nurse Practitioner 428 S Alvord St, Syracuse, NY 13208-2720 2008-07-10
1538264312 Nancy P Mitchell Nurse Practitioner 90 Presidential Plz Fl 3, University Pediatric and Adolescent Center, Syracuse, NY 13202-2240 2006-09-14
1821616962 Brittney Johnson Nurse Practitioner 736 Irving Ave Ste 9100, Syracuse, NY 13210-1687 2020-07-06
1114542511 Heather N Bedard Nurse Practitioner 736 Irving Ave, Syracuse, NY 13210-1687 2020-06-11
1841858370 Heather Pitts Nurse Practitioner 819 S Salina St, Syracuse, NY 13202-3570 2019-05-30
1922572379 Kristen Marie Maas Nurse Practitioner 750 E Adams St, Syracuse, NY 13210-2306 2019-01-18
1225518707 Erica Kendrew Nurse Practitioner 819 S Salina St, Syracuse, NY 13202 2018-08-15
1659868487 Hollie Elizabeth Campbell Nurse Practitioner 725 Irving Ave Ste 503, Syracuse, NY 13210-1683 2018-04-17
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13210

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Dataset Information

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.

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