JACQUELINE DECUNZO (NPI# 1528476686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528476686 |
| Entity Type | Individual |
| Full Name | JACQUELINE DECUNZO |
| Credential | ANP |
| Practice Address |
48 East St Fort Edward NY 12828-1811 |
| Mailing Address |
9 Carey Rd Queensbury NY 12804-7880 |
| Practice Telephone | 5187616961 |
| Practice Fax Number | 5187611006 |
| Mailing Telephone | 5187610300 |
| Mailing Fax Number | 5187451378 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
306928 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
48 EAST ST |
| City | FORT EDWARD |
| State | NY |
| Zip Code | 12828-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113590 | Howard E Silverberg | Internal Medicine | 48 East St, Fort Edward, NY 12828-1811 | 2005-08-31 |
| 1730613514 | Robert Southerland | Family Medicine | 48 East St, Fort Edward, NY 12828-1811 | 2017-04-18 |
| 1376922146 | Daniela L Andrade | Social Worker | 48 East St, Fort Edward, NY 12828-1811 | 2015-05-26 |
| 1003222159 | Rita Lynn All | Nurse Practitioner | 48 East St, Fort Edward, NY 12828-1811 | 2014-07-09 |
| 1790123388 | Felicia A Heber | Nurse Practitioner | 48 East St, Fort Edward, NY 12828-1811 | 2013-06-05 |
| 1124320247 | Hudson Headwaters Health Network | Social Worker | 48 East St, Fort Edward, NY 12828-1811 | 2010-11-22 |
| 1750519831 | Gail E Stern | Nurse Practitioner | 48 East St, Fort Edward, NY 12828-1811 | 2009-06-26 |
| 1851530398 | Michael W Fuller | Family Medicine | 48 East St, Fort Edward, NY 12828-1811 | 2009-02-06 |
| 1124140702 | Beverly H Symonds | Social Worker | 48 East St, Fort Edward, NY 12828-1811 | 2007-04-04 |
| 1962433169 | Suzanne Hackert | Social Worker | 48 East St, Fort Edward, NY 12828-1811 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194036772 | Theresa Anne Boire | Specialist | 270 County Route 42, Fort Edward, NY 12828 | 2010-06-29 |
| 1972838506 | Sandra Pollaro | Social Worker | 1153 Burgoyne Avenue, Hudson Falls Central School District, Fort Edward, NY 12828 | 2009-10-15 |
| 1063683845 | Barbara Elizabeth Tyler | Registered Nurse | 38 Seminary Street, Fort Edward, NY 12828 | 2008-03-19 |
| 1942386594 | Gayle J Pliscofsky | Occupational Therapist | 214 State Route 197, Fort Edward, NY 12828 | 2006-10-27 |
| 1437166626 | Moreau Emergency Squad Inc | Ambulance | 1583 State Rt 9, Fort Edward, NY 12828 | 2006-08-01 |
| 1427031319 | Fort Edward Rescue Squad Inc | Ambulance | 75 Schuyler Street, Fort Edward, NY 12828 | 2005-11-23 |
| 1639585540 | Michele Harding | Nurse Practitioner | 375 Broadway, Fort Edward, NY 12828 | 2014-07-11 |
| 1730548702 | Washington County Ofa | Public Health or Welfare | 383 Broadway, Fort Edward, NY 12828-1001 | 2016-02-18 |
| 1235365065 | Stephen Lape | Licensed Practical Nurse | 47 Park Ave, Fort Edward, NY 12828-1031 | 2009-06-08 |
| 1255697538 | Donna M Dapolito | Social Worker | 1153 Burgoyne Avenue, Suite 2, Fort Edward, NY 12828-1134 | 2012-04-11 |
| Find all providers in zip 12828 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811415789 | Jamie D Bovair | Nurse Practitioner | 327 Broadway, Fort Edward, NY 12828-1233 | 2017-08-31 |
| 1639585540 | Michele Harding | Nurse Practitioner | 375 Broadway, Fort Edward, NY 12828 | 2014-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | FORT EDWARD |
| Zip Code | 12828 |
Please comment or provide details below to improve the information on JACQUELINE DECUNZO.
| 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.