MRS. JERICHO BARCOMB BANKER


Address: 322 Lake Ave, Rochester, NY 14608-1162
Phone: 5852546480

MRS. JERICHO BARCOMB BANKER (NPI# 1518220441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518220441
Entity Type Individual
Full Name MRS. JERICHO BARCOMB BANKER
Credential NP
Practice Address 322 Lake Ave
Rochester
NY 14608-1162
Mailing Address 1741 Bragg St
Lima
NY 14485-9724
Practice Telephone 5852546480
Mailing Telephone 5857214211
Enumeration Date 2012-06-15
Last Update Date 2012-06-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
337319 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 322 LAKE AVE
City ROCHESTER
State NY
Zip Code 14608-1162

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316963440 Terri Ragin Physician Assistant 322 Lake Ave, Rochester, NY 14608-1017 2006-07-14
1174146435 Kyle Andrews Physician Assistant 322 Lake Ave, Rochester, NY 14608-1162 2020-05-21
1255997581 Kaitlyn Erin Kennedy Physician Assistant 322 Lake Ave, Rochester, NY 14608-1162 2019-05-13
1558879916 Theresa Mcqueen Dental Hygienist 322 Lake Ave, Rochester, NY 14608-1162 2018-01-18
1487162533 Colleen Obrien Dietitian, Registered 322 Lake Ave, Rochester, NY 14608-1162 2018-01-10
1659805026 Nina Piazza Family Medicine 322 Lake Ave, Rochester, NY 14608-1162 2017-04-12
1710345384 Sylvia Ann Johnson Social Worker 322 Lake Ave, Rochester, NY 14608-1162 2016-02-10
1962872812 Amer Ali Musleh Physician Assistant 322 Lake Ave, Rochester, NY 14608-1162 2015-10-05
1205240181 Shawn Fellows Pharmacist 322 Lake Ave, Rochester, NY 14608-1162 2014-06-18
1023437704 Branko Matich Family Medicine 322 Lake Ave, Rochester, NY 14608-1162 2014-04-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588138184 Starzom, LLC Transportation Broker 803 South Plymouth Avenue, Rochester, NY 14608 2019-01-16
1750864500 Nikki Haynesworth Counselor 394 Frederick Douglass St., Rochester, NY 14608 2018-09-07
1639614498 Atiya Abdus-samad Technician 104 Cady Street, Rochester, NY 14608 2017-01-03
1467806703 Beverley Adams Licensed Practical Nurse 200 Frost Avenue, Rochester, NY 14608 2016-04-22
1497114037 Amanda Martinez Licensed Practical Nurse 125 Minnesota St, Rochester, NY 14608 2016-02-10
1366771750 Tracy Lynn Clark Licensed Practical Nurse 2 Backus St, Rochester, NY 14608 2009-12-14
1033397252 Tracy Stevens Registered Nurse 280 Seward Street, Rochester, NY 14608 2008-02-11
1578653929 Amy L Archer Social Worker 81 Lake Avenue, Evelyn Brandon Health Center, Rochester, NY 14608 2006-10-14
1902906233 Kevin M Mcintyre Psychiatry & Neurology 81 Lake Ave., Rochester, NY 14608 2006-09-25
1427088913 Steven M Ess Chiropractor 309 Exchange Blvd, Rochester, NY 14608 2006-07-03
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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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
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Competitor

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City ROCHESTER
Zip Code 14608

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Dataset Information

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.

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