KATHLEEN BRIDGET JOLY (NPI# 1528195260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528195260 |
| Entity Type | Individual |
| Full Name | KATHLEEN BRIDGET JOLY |
| Other Name | KATHLEEN BRIDGET GUYDER |
| Credential | M.S., RPA-C |
| Practice Address |
125 Business Park Dr Suite 150 Utica NY 13502-6304 |
| Practice Telephone | 3152352540 |
| Practice Fax Number | 3152352171 |
| Mailing Telephone | 3152352540 |
| Mailing Fax Number | 3152352171 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2015-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 011751-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
011751 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
125 BUSINESS PARK DR SUITE 150 |
| City | UTICA |
| State | NY |
| Zip Code | 13502-6304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255694642 | Anna Cecelia Nelson | Nurse Practitioner | 125 Business Park Dr, Suite 150, Utica, NY 13502-6304 | 2012-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750869491 | Jinshan Jin | Physician Assistant | 1903 Sunset Ave # 3, Utica, NY 13502-5617 | 2018-08-03 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| 1538153754 | Laura F Buschmann | Physician Assistant | 125 Business Park Dr Ste 150, Utica, NY 13502-6316 | 2005-09-02 |
| 1093223760 | Paul John Grubner Jr. | Physician Assistant | 1656 Champlin Ave, Utica, NY 13502-4830 | 2018-01-16 |
| 1073922704 | Philip Cox | Physician Assistant | 1903 Sunset Ave, Utica, NY 13502-5617 | 2014-08-06 |
| 1699026310 | Connor Gill | Physician Assistant | 2211 Genesee St, Utica, NY 13501-5930 | 2012-09-20 |
| 1669722500 | Katrina M Abdalla | Physician Assistant | 2209 Genesee St, Utica, NY 13501-5930 | 2012-09-19 |
| 1124312665 | Kelly Marie Cenname | Physician Assistant | 2211 Genesee St, Utica, NY 13501-5930 | 2011-06-01 |
| 1033438320 | Sean Phillips | Physician Assistant | 1656 Champlin Ave, Utica, NY 13502-4830 | 2010-05-26 |
| 1326123969 | Kevin John Lynch | Physician Assistant | 1418 Genesee St, Utica, NY 13502-5101 | 2006-10-25 |
| Find all providers in UTICA | ||||
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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.