CARLA PUCKETT (NPI# 1346757648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
676619 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | NY STATE | 676619 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
601 Elmwood Ave, Rochester, NY 146420001 | 5852752100 |
Street Address |
919 WESTFALL RD STE 100 |
City | ROCHESTER |
State | NY |
Zip Code | 14618-2628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720433345 | Jerry Kong | Family Medicine | 919 Westfall Rd Ste 100, Rochester, NY 14618-2628 | 2016-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
Find all providers in zip 14618 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
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.