MARCIA KELLER (NPI# 1477635795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477635795 |
| Entity Type | Individual |
| Full Name | MARCIA KELLER |
| Credential | MS, RN, CS, ANP-BC |
| Practice Address |
140 Canal View Blvd Suite 102 Rochester NY 14623-2808 |
| Practice Telephone | 5853382700 |
| Practice Fax Number | 5852429663 |
| Mailing Telephone | 5853382700 |
| Mailing Fax Number | 5852429663 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2017-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F300644 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F300644 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PREFERRED CARE | NP0356 | 01 | |
| HEALTHNOW | 000918192001 | 01 | |
| BLUE CHOICE | PO19300644 | 01 | |
| COMMUNITY BLUE | 918192001 | 01 |
| Street Address |
140 CANAL VIEW BLVD SUITE 102 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013992601 | Vijay Kumar Krishnamoorthy | Internal Medicine | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2005-12-07 |
| 1073005997 | Nicole Lynn Holdsworth | Registered Nurse | 140 Canal View Blvd, Rochester, NY 14623 | 2018-06-06 |
| 1366893596 | Arica N Ferguson | Physician Assistant | 140 Canal View Blvd, Suite 103, Rochester, NY 14623 | 2016-06-29 |
| 1336452267 | Elizabeth Ann Butterer | Nurse Practitioner | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2010-07-20 |
| 1376757559 | Parag P Patel | Internal Medicine | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2007-05-09 |
| 1427130822 | Theresa Richardson | Physician Assistant | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-10-19 |
| 1427146745 | Pina C Spampanato | Physician Assistant | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-10-11 |
| 1730140401 | Maurice J. Vaughan | Internal Medicine | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-03-31 |
| 1649231317 | Roy S. Wiener | Internal Medicine | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-03-31 |
| 1376504795 | Thomas P. Stuver | Internal Medicine | 140 Canal View Blvd, Suite 102, Rochester, NY 14623-2808 | 2006-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
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| 1558923599 | Megan Michelle Maurer | Nurse Practitioner | 343 Oakridge Dr, Rochester, NY 14617-2541 | 2019-06-30 |
| 1831674183 | Julie Marie Hammer | Nurse Practitioner | 1415 Portland Ave Ste 220, Rochester, NY 14621-3039 | 2018-10-02 |
| 1417439761 | Andrew Molnar | Nurse Practitioner | 4451 Carriage Hill Ct, Rochester, MI 48306-4672 | 2018-09-04 |
| 1124528740 | Kelly F Dibble | Nurse Practitioner | 222 Alexander St Ste 5000, Rochester, NY 14607-4064 | 2018-02-20 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1487163945 | Sylvana Adly Brickley | Nurse Practitioner | 40 Celebration Drive Dermatology, Rochester, NY 14642-0001 | 2017-09-27 |
| 1639603111 | Sos Recovery Services, Inc. | Nurse Practitioner | 234 Adams St, Rochester, PA 15074-2102 | 2017-04-12 |
| 1134534944 | Stephanie Solpietro | Nurse Practitioner | 601 Elmwood Ave Box 619-334, Rochester, NY 14642-0001 | 2014-07-01 |
| 1417200593 | Joann Bettin Trzcinski | Nurse Practitioner | 95 Canal Landing Blvd Ste A, Rochester, NY 14626-5111 | 2012-10-26 |
| 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.