CARLA PUCKETT


Address: 919 Westfall Rd Ste 100, Rochester, NY 14618-2628
Phone: 5852759835

CARLA PUCKETT (NPI# 1346757648) 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) 1346757648
Entity Type Individual
Full Name CARLA PUCKETT
Practice Address 919 Westfall Rd Ste 100
Rochester
NY 14618-2628
Mailing Address 601 Elmwood Ave Box 278984
Rochester
NY 14642-0001
Practice Telephone 5852759835
Practice Fax Number 5854611321
Mailing Telephone 5857849277
Enumeration Date 2018-01-08
Last Update Date 2018-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
676619 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY NY STATE 676619 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
601 Elmwood Ave, Rochester, NY 146420001 5852752100

Office Location

Street Address 919 WESTFALL RD STE 100
City ROCHESTER
State NY
Zip Code 14618-2628

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720433345 Jerry Kong Family Medicine 919 Westfall Rd Ste 100, Rochester, NY 14618-2628 2016-05-02

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861091704 Morgan Rohl Nurse Practitioner 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 2020-10-21
1073111738 Melissa E Spencer Nurse Practitioner 1338 E Ridge Rd Ste 101, Rochester, NY 14621-2017 2020-10-15
1295345254 Kristin Colleen Fleming Nurse Practitioner 400 Red Creek Dr Ste 110, Rochester, NY 14623-4273 2020-08-05
1043820251 Michelle Katherine Hiczun Nurse Practitioner 20 Hagen Dr Ste 330, Rochester, NY 14625-2664 2020-08-03
1689296949 Suzanne Lee Bundrick Nurse Practitioner 1921 Westwood Ct Sw, Rochester, MN 55902-1170 2020-05-09
1649818931 Erin Elizabeth Akins Nurse Practitioner 1882 Winton Rd S Ste 3, Rochester, NY 14618-3950 2019-12-17
1912544107 Bethany Anderson Ganz Nurse Practitioner 115 16th Ave Nw, Rochester, MN 55901-0347 2019-12-06
1164068383 Christina Kosachook Nurse Practitioner 990 South Ave Ste 104, Rochester, NY 14620-2740 2019-11-22
1073159679 Avellina Ihuaku Okafor Nurse Practitioner 1328 Ridgeway Ave, Rochester, NY 14615-3716 2019-11-19
1053961409 Melissa Guu-shyuan Feng Nurse Practitioner 995 Senator Keating Blvd Ste 3100, Rochester, NY 14618-2778 2019-09-18
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Competitor

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City ROCHESTER
Zip Code 14618

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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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