RAECHEL DICK (NPI# 1265945620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265945620 |
| Entity Type | Individual |
| Full Name | RAECHEL DICK |
| Credential | AGNP-BC |
| Practice Address |
90 Presidential Plaza Syracuse NY 13202 |
| Mailing Address |
37 Burt Ave Apt 1 Auburn NY 13021-4840 |
| Practice Telephone | 3154644686 |
| Practice Fax Number | 3154647106 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F308436-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
90 PRESIDENTIAL PLAZA |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412575 | James Anthony Traver | Internal Medicine | 90 Presidential Plaza, Uhcc, Adult Medicine, Syracuse, NY 13202 | 2005-07-26 |
| 1972116804 | Maya Marie Werksman | Nurse Practitioner | 90 Presidential Plaza, Syracuse, NY 13202 | 2020-08-29 |
| 1790316305 | Alexander C Hensel | Nurse Practitioner | 90 Presidential Plaza, Syracuse, NY 13202 | 2020-02-01 |
| 1164918546 | Cynthia Ann Davis | Nurse Practitioner | 90 Presidential Plaza, 3rd Fl, Syracuse, NY 13202 | 2018-07-09 |
| 1295199545 | Joshua Bonville | Pediatrics | 90 Presidential Plaza, 3rd Fl, Syracuse, NY 13202-2240 | 2016-04-12 |
| 1588040331 | Deborah Bedford | Nurse Practitioner | 90 Presidential Plaza, 4th Floor, Syracuse, NY 13202 | 2015-08-04 |
| 1528453982 | Jessica E Mayer | Internal Medicine | 90 Presidential Plaza, 3rd Fl, Syracuse, NY 13202 | 2015-04-02 |
| 1285046508 | Rupali Singla | Family Medicine | 90 Presidential Plaza, Syracuse, NY 13202 | 2014-05-21 |
| 1124461116 | Heather Ann Mullin | Nurse Practitioner | 90 Presidential Plaza, 3rd Fl, Syracuse, NY 13202 | 2013-04-10 |
| 1801148010 | Mary Joanne Lakomski | Pharmacist | 90 Presidential Plaza, Syracuse, NY 13202 | 2012-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
| 1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
| 1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
| 1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
| 1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
| 1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
| 1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
| 1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
| Find all providers in zip 13202 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023520038 | Michaela Marie Murphy | Nurse Practitioner | 104 Union Ave Ste 901, Syracuse, NY 13203-1845 | 2017-10-31 |
| 1699299438 | Mary H Ryan | Nurse Practitioner | 302 Ludden Pkwy, Syracuse, NY 13219-3024 | 2017-08-02 |
| 1619302619 | Jennie Marie Doane | Nurse Practitioner | 236 Belle Ave, Syracuse, NY 13205-1938 | 2013-09-09 |
| 1376852129 | Pamela Wilcox Salisbury | Nurse Practitioner | 413 Breakspear Rd, Syracuse, NY 13219-2315 | 2010-09-28 |
| 1295975159 | Carol Ann Carioti | Nurse Practitioner | 101 Hamden Dr, Syracuse, NY 13208-1936 | 2009-03-04 |
| 1720206352 | Mary L. Salerno | Nurse Practitioner | 1007 Court St, Syracuse, NY 13208-1708 | 2007-04-20 |
| 1811030828 | Donna Ann Gillette | Nurse Practitioner | St. Camillus Health & Rehabilitation Center, 813 Fay Rd, Syracuse, NY 13219 | 2007-02-15 |
| 1225186588 | Marguerite H Mallia | Nurse Practitioner | 5075 W Senecatpke, Van Duyn Home & Hospital, Syracuse, NY 13215-2292 | 2007-01-05 |
| 1194837526 | Gail Mccue Donnery | Nurse Practitioner | 1000 E Genesee St Ste 403, Hill Medical Center, Syracuse, NY 13210-1840 | 2006-08-31 |
| 1750384004 | Brenda A Baker | Nurse Practitioner | 739 Irving Ave, Ste 520, Syracuse, NY 13210-1663 | 2005-05-31 |
| Find all providers in SYRACUSE | ||||
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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.