STACEY LYNN ABBOTT (NPI# 1427563071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427563071 |
| Entity Type | Individual |
| Full Name | STACEY LYNN ABBOTT |
| Other Name | STACEY FOX |
| Credential | NP |
| Practice Address |
1555 Long Pond Rd Rochester NY 14626-4122 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 5853684006 |
| Practice Fax Number | 5853684009 |
| Mailing Telephone | 5859220553 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2019-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
382806 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05028973 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Driving Park Ave, Newark, NY 145131090 | 3153592660 | 3153592635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477952844 | Stacey Abbott | Pharmacist | 18680 N Nogales Hwy, Sahuarita, AZ 85629 | 2014-08-21 |
| Street Address |
1555 LONG POND RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474854 | Michelle Carpenter-bradley | Internal Medicine | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2005-06-01 |
| 1891394037 | Thomas Smith | Nurse Practitioner | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-20 |
| 1083211726 | Stergios Zissis | Nurse Practitioner | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-06 |
| 1194322123 | Yousif Rajab | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-02 |
| 1295342673 | Rachel Costain | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-29 |
| 1093321903 | Suman Biswas | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-17 |
| 1679187736 | Mary Carol Kretsch | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-04 |
| 1649883794 | Fahd Shaukat | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-28 |
| 1679185623 | Mohamed Eid | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-20 |
| 1619588076 | Megan M Stone | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126266 | Victoria Mack | Nurse Practitioner | 33 Landing Rd S, Rochester, NY 14610-3161 | 2020-05-21 |
| 1730749847 | Nicholas John Wodo | Nurse Practitioner | 601 Elmwood Ave Box 690, Rochester, NY 14642-0001 | 2019-06-20 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1205076122 | Panorama Pediatric Group, Rllp | Nurse Practitioner | 220 Linden Oaks Ste 200, Rochester, NY 14625-2839 | 2009-03-05 |
| 1932267721 | Amy Beth Realbuto | Nurse Practitioner | 451 E Henrietta Rd, 2nd Floor, Rochester, NY 14620-4629 | 2006-12-05 |
| 1396803169 | Melissa M Ryan | Nurse Practitioner | 601 Elmwood Ave Box 671, Rochester, NY 14642-0001 | 2006-12-05 |
| 1649345984 | Barbra Murante | Nurse Practitioner | 601 Elmwood Ave Rm 4-8123, Rochester, NY 14642-0001 | 2006-11-22 |
| 1730253808 | Paula Barbel | Nurse Practitioner | 451 E Henrietta Rd Fl 2, Rochester, NY 14620-4629 | 2006-11-20 |
| 1942372842 | Nancy Chevalier | Nurse Practitioner | 111 Westfall Road, Room 183, Rochester, NY 14692 | 2006-11-15 |
| 1215012521 | Patricia Ann Mccabe | Nurse Practitioner | 1850 Buffalo Rd, Suite 200 Genesis Pediatrics, Rochester, NY 14624-1502 | 2006-10-26 |
| 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.