MS. JACQUELINE AIMEE DALL (NPI# 1376901595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376901595 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE AIMEE DALL |
| Credential | NURSE PRACTITIONER |
| Practice Address |
855 Central Avenue Albany NY 12206 |
| Practice Telephone | 5184345678 |
| Practice Fax Number | 5184340732 |
| Mailing Telephone | 5184345678 |
| Mailing Fax Number | 5184340732 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
307572 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
855 CENTRAL AVENUE |
| City | ALBANY |
| State | NY |
| Zip Code | 12206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| 1861676009 | Capital District Pediatrics P.l.l.c | Clinic/Center | 400 Patroon Creek, Suite 201, Albany, NY 12206 | 2007-12-24 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699231324 | Veronica Carlevale Roddy | Nurse Practitioner | 23 Hackett Blvd # Mc208, Albany, NY 12208-3436 | 2019-02-19 |
| 1174002646 | Haeyoung Chong | Nurse Practitioner | 319 S Manning Blvd Ste 202, Albany, NY 12208-1743 | 2018-08-07 |
| 1366874208 | Cheryl Gervin-clark | Nurse Practitioner | 2318 Pearce Ave, Albany, GA 31705-3312 | 2013-08-02 |
| 1689844839 | Tanya M Sommers | Nurse Practitioner | 33 W Dillenbeck Dr, Albany, NY 12203-3404 | 2008-03-04 |
| 1659553097 | Judy Stamper | Nurse Practitioner | 315 Sw 4th, Albany, OR 97321-3769 | 2007-11-28 |
| 1275658627 | Samara M Gabree | Nurse Practitioner | 100 Slingerland St, Albany, NY 12202-1229 | 2007-03-21 |
| 1992888036 | Children First Kidmed | Nurse Practitioner | 19115 Florida Blvd Ste A, Albany, LA 70711-3701 | 2006-10-23 |
| 1720172422 | Judy Kelly Shaw | Nurse Practitioner | 113 Holland Ave, Mc 111d, Vamc, Albany, NY 12208 | 2006-10-03 |
| 1841303500 | Mary Elizabeth Mcconihe | Nurse Practitioner | 113 Holland Ave., Samuel Stratton Va Medical Center, Albany, NY 12208 | 2006-08-16 |
| 1942238308 | Jean Elizabeth Porter | Nurse Practitioner | 1 Pine West Plz, Washington Ave Ext, Albany, NY 12205-5531 | 2006-06-28 |
| Find all providers in ALBANY | ||||
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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.