STEFANIE PACK-CAMPBELL (NPI# 1366799652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366799652 |
| Entity Type | Individual |
| Full Name | STEFANIE PACK-CAMPBELL |
| Credential | LPN |
| Practice Address |
1116 Elm Cir Camillus NY 13031-1528 |
| Practice Telephone | 3158842366 |
| Mailing Telephone | 3158842366 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 297825 | NY | Nursing Service Providers |
| Street Address |
1116 ELM CIR |
| City | CAMILLUS |
| State | NY |
| Zip Code | 13031-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194361337 | Marsha Reedy | Registered Nurse | Baldwinsville Schools, 29 East Oneida Street, Baldwinsville, NY 13031 | 2019-11-22 |
| 1821632167 | Romans Soltani Dentistry, Pllc | Dentist | 5426 W. Genesee Street, Camillus, NY 13031 | 2019-10-30 |
| 1174178859 | Abigail Marie Brunner | Nurse Practitioner | 208 Township Blvd, Suite 100, Camillus, NY 13031 | 2019-08-08 |
| 1649779547 | Claire Isaacson | Counselor | 6000 W Genesee St Ste 400, Camillus, NY 13031 | 2018-02-06 |
| 1811426190 | At Home Independent Living, Inc. | In Home Supportive Care | 4464 Milton Ave, Syracuse, NY 13031 | 2017-06-08 |
| 1548643471 | Podiatry Services of Central New York, PC | Podiatrist | 4912 West Genesee Street, Camillus, NY 13031 | 2015-07-09 |
| 1023497203 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5417 West Genesee Street, Suite 1, Camillus, NY 13031 | 2015-05-21 |
| 1194130377 | Costco Wholesale Corporation | Pharmacy | 120 Township Blvd, Camillus, NY 13031 | 2014-06-25 |
| 1487084976 | Todd Ray | Social Worker | 6000 W Genesee St, Camillus, NY 13031 | 2013-11-19 |
| 1093045155 | Rebecca Mae Goal Carroll | Physical Therapist | 5417 W Genesee St, Camillus, NY 13031 | 2010-01-12 |
| Find all providers in zip 13031 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114484565 | Kerry Morse | Licensed Practical Nurse | 147 North Way, Camillus, NY 13031-1253 | 2019-02-21 |
| 1114491354 | Emily Jeanne Lima-deangelis | Licensed Practical Nurse | 19 Queens Way Apt 3, Camillus, NY 13031-1748 | 2019-01-21 |
| 1467855205 | Naimah Hameed | Licensed Practical Nurse | 4915 W Genesee St, E2, Camillus, NY 13031-2340 | 2014-10-08 |
| 1134549868 | Heather Anne Frese | Licensed Practical Nurse | 3315 Warners Rd, Camillus, NY 13031-9649 | 2014-04-21 |
| 1003252347 | Hiedi Lynn Agner | Licensed Practical Nurse | 4031 Onondaga Blvd, Camillus, NY 13031-9709 | 2013-05-14 |
| 1265740534 | Brian Baum | Licensed Practical Nurse | 5 Kenmont Dr, Camillus, NY 13031-1511 | 2010-09-20 |
| 1871808527 | Holly Hathway | Licensed Practical Nurse | 3985 Split Rock Rd, Camillus, NY 13031-8703 | 2010-08-18 |
| 1639401680 | Therese Ann Cacchione | Licensed Practical Nurse | 20 Henry Beach Dr, Camillus, NY 13031-1628 | 2010-02-02 |
| 1417288788 | Toni Jean Vella | Licensed Practical Nurse | 2395 W Genesee Tpke, Camillus, NY 13031-9612 | 2010-01-26 |
| 1841520558 | Roxanne Marie Carey | Licensed Practical Nurse | 23 1st St Apt 14, Camillus, NY 13031-1153 | 2009-12-30 |
| Find all providers in CAMILLUS | ||||
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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.