ELISE HOUSE CONDOR (NPI# 1326561515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326561515 |
| Entity Type | Individual |
| Full Name | ELISE HOUSE CONDOR |
| Other Name | ELISE HOUSE KOGUT |
| Credential | RN-BSN, NP |
| Practice Address |
490 E Ridge Rd Rochester NY 14621 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 5859222500 |
| Mailing Telephone | 5859220553 |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F-402176-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
490 E RIDGE RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366470577 | Eric J Brewer | Psychiatry & Neurology | 490 E Ridge Rd, Rochester, NY 14621-1229 | 2006-06-28 |
| 1013521889 | Rachael Elizabeth Ross | Counselor | 490 E Ridge Rd, Rochester, NY 14621-1297 | 2020-08-31 |
| 1730700659 | Cenitra J Johnson | Registered Nurse | 490 E Ridge Rd, Rochester, NY 14621-1229 | 2020-05-01 |
| 1639704620 | Carmela Marie Brooks-nelson | Counselor | 490 E Ridge Rd, Rochester, NY 14621-1297 | 2020-03-10 |
| 1679104848 | Mariya Chepil | Registered Nurse | 490 E Ridge Rd, Rochester, NY 14621-1229 | 2020-01-28 |
| 1831736677 | Andrea Burns | Counselor | 490 E Ridge Rd, Rochester, NY 14621-1229 | 2019-11-27 |
| 1750922795 | Jonna Terhune | Social Worker | 490 E Ridge Rd, Rochester, NY 14621-1297 | 2019-10-01 |
| 1437708047 | Samantha Renee Green | Counselor | 490 E Ridge Rd, Rochester, NY 14621-1297 | 2019-09-06 |
| 1801444328 | Raffinee Acoff-johnson | Counselor | 490 E Ridge Rd, Rochester, NY 14621-1229 | 2019-08-28 |
| 1629621495 | Nicole Clinkscale | Counselor | 490 E Ridge Rd, Rochester, NY 14621-1297 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989804 | Christopher Grant Miles | Nurse Practitioner | 1425 Portland Ave Ste 206, Wilson Bldg, Rochester, NY 14621-3011 | 2020-07-14 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1063066272 | Keighley Loveland | Nurse Practitioner | 315 Science Pkwy Ste 500, Rochester, NY 14620-4257 | 2019-07-25 |
| 1396308375 | Adonye T Afonya | Nurse Practitioner | 315 Elton Hills Dr Nw Ste 201, Rochester, MN 55901-2989 | 2019-04-16 |
| 1497280382 | Roslynn Porter | Nurse Practitioner | 77 Colvin St, Rochester, NY 14611-2136 | 2017-04-27 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1942602198 | Deirdre Mary Kelley | Nurse Practitioner | 1111 Elmwood Ave Bldg 16, Rochester, NY 14620-3005 | 2014-09-18 |
| 1083014070 | M Elizabeth Rowe | Nurse Practitioner | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2014-08-27 |
| 1639587009 | Sean Patrick Murphy | Nurse Practitioner | 95 Allens Creek Road, Building 1 Suite 306, Rochester, NY 14618 | 2014-07-29 |
| 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.