CARLA R JUNGQUIST (NPI# 1245268747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245268747 |
| Entity Type | Individual |
| Full Name | CARLA R JUNGQUIST |
| Credential | NP |
| Practice Address |
350 Parrish St Canandaigua NY 14424-1731 |
| Practice Telephone | 5853966483 |
| Mailing Telephone | 5853966483 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 339960 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02379573 | 05 |
| Street Address |
350 PARRISH ST |
| City | CANANDAIGUA |
| State | NY |
| Zip Code | 14424-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104801992 | Erin E Howe | Rehabilitation Practitioner | 350 Parrish St, Continuing Care Center, Canandaigua, NY 14424-1731 | 2005-12-14 |
| 1518568567 | Oliver Gilroy | Registered Nurse | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-11-05 |
| 1265031009 | Lyndsi Marie Sweet | Registered Nurse | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-10-22 |
| 1912505439 | Sarah Stubler | Registered Nurse | 350 Parrish St, Canandaigua, NY 14424-1793 | 2020-10-16 |
| 1447864566 | Jennie Grace Hayes | Occupational Therapist | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-09-04 |
| 1396359907 | Lisa Ann Feeney | Pharmacist | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-09-01 |
| 1578184941 | Amy Christine Hull | Nurse Practitioner | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-04-27 |
| 1417584293 | Victoria Story | Physical Therapy Assistant | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-03-24 |
| 1609403377 | Sarah Ann Williams | Occupational Therapist | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-03-24 |
| 1972134500 | Emily C Munn | Physical Medicine & Rehabilitation | 350 Parrish St, Canandaigua, NY 14424-1731 | 2020-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
| 1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
| 1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
| 1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
| 1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
| 1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
| 1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
| Find all providers in zip 14424 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396229142 | Jennifer L Topor | Nurse Practitioner | 229 Parrish St Ste 250, Canandaigua, NY 14424-1795 | 2018-09-18 |
| 1043274137 | Virginia P Krebbeks | Nurse Practitioner | 199 Parrish St, Canandaigua, NY 14424-1726 | 2006-04-14 |
| 1194281444 | Angela Manjgaladze | Nurse Practitioner | 42 N Main St, Canandaigua, NY 14424-1446 | 2019-02-12 |
| 1881160695 | Amanda Leigh Dendis | Nurse Practitioner | 195 Parrish St Ste 220, Canandaigua, NY 14424-1693 | 2018-10-18 |
| 1700332137 | Jane Rosalind Wood | Nurse Practitioner | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2016-08-26 |
| 1770696759 | Barbara A Caulfield | Nurse Practitioner | 3019 County Complex Dr, Canandaigua, NY 14424-9505 | 2006-08-16 |
| 1962420554 | Richard Edward Lee II | Nurse Practitioner | 229 Parrish St Ste 100, Canandaigua, NY 14424 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235432 | Koli Eckert | Nurse Practitioner | 2455 77th St Fl 2, East Elmhurst, NY 11370-1525 | 2020-11-04 |
| 1134728942 | Angelyn Arielle Brown | Nurse Practitioner | 3332 Walden Ave Ste 1100, Depew, NY 14043-2400 | 2020-10-22 |
| 1871191056 | Natalie Larissa Cohen | Nurse Practitioner | 555 Laguardia Pl, New York, NY 10012-1402 | 2020-10-11 |
| 1841807799 | Raquel Shivanna Sookram | Nurse Practitioner | 5505 Myrtle Ave, Ridgewood, NY 11385-3550 | 2020-09-24 |
| 1154938264 | Haessal Kim | Nurse Practitioner | 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 | 2020-09-23 |
| 1235745282 | April Lynne Mott | Nurse Practitioner | 600 Ivy St Ste 108, Elmira, NY 14905-1627 | 2020-09-16 |
| 1407461676 | Kim Marie Neenan-reilly | Nurse Practitioner | 7200 Douglaston Pkwy, Main Floor, Douglaston, NY 11362-1941 | 2020-09-14 |
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1992316996 | Cassandra Dionne Saint-furcy | Nurse Practitioner | 6 Provenzano St, Inwood, NY 11096-1410 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | CANANDAIGUA |
| Zip Code | 14424 |
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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.