ABIGAIL PECKHAM (NPI# 1578123212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578123212 |
| Entity Type | Individual |
| Full Name | ABIGAIL PECKHAM |
| Practice Address |
1500 N James St Rome NY 13440-2844 |
| Mailing Address |
5824 Bartlett Rd Rome NY 13440-1111 |
| Practice Telephone | 3151793702 |
| Mailing Telephone | 3157493702 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 345003 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861814675 | Abigail Peckham | Speech-Language Pathologist | 4413 Cox Rd, Glen Allen, VA 23060-3326 | 2014-01-13 |
| Street Address |
1500 N JAMES ST |
| City | ROME |
| State | NY |
| Zip Code | 13440-2844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546440 | Rome Memorial Hospital, Inc. | General Acute Care Hospital | 1500 N James St, Rome, NY 13440-2844 | 2005-05-23 |
| 1346870102 | Courtney C Waite | Occupational Therapist | 1500 N James St, Rome, NY 13440-2844 | 2020-01-21 |
| 1508420381 | Daniel Steven Kemp | Physical Therapist | 1500 N James St, Rome, NY 13440-2844 | 2019-04-26 |
| 1457843682 | Melissa Flury | Speech-Language Pathologist | 1500 N James St, Rome, NY 13440-2844 | 2018-06-04 |
| 1437670106 | Kelly Miller | Physical Therapist | 1500 N James St, Rome, NY 13440-2844 | 2017-07-03 |
| 1659800902 | Hayley Coon | Physical Therapist | 1500 N James St, Rome, NY 13440-2844 | 2017-06-09 |
| 1821527169 | Jennifer Barone | Occupational Therapist | 1500 N James St, Rome, NY 13440-2844 | 2017-06-09 |
| 1902201494 | Justin Daniel Waters | Physical Therapist | 1500 N James St, Rome, NY 13440-2844 | 2014-10-27 |
| 1801298872 | Brianna Brognano | Pharmacist | 1500 N James St, Rome, NY 13440-2844 | 2014-09-22 |
| 1194152751 | Empire State Inpatient Medical, Pllc | Hospitalist | 1500 N James St, Rome, NY 13440-2844 | 2013-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043649817 | Satoya Loreen Hartfield | Nurse Practitioner | 330 Turner Mccall Blvd Sw Ste 107, Rome, GA 30165-5631 | 2013-11-02 |
| 1871773911 | Liza B Meltzer | Nurse Practitioner | 199 Reynolds Bend Dr Se, Rome, GA 30161-2539 | 2007-11-06 |
| 1285747493 | Karen Jenell Craig | Nurse Practitioner | 304 Turner Mccall Blvd, The Breast Center, Rome, GA 30165-0233 | 2006-08-15 |
| 1396769048 | Judy Norman Wilburn | Nurse Practitioner | Rome Cboc of The Syracuse Va, 125 Brookley Ave., Rome, NY 13441 | 2006-07-26 |
| 1851312680 | Tammy Michelle Hairel | Nurse Practitioner | 85 John Maddox Drive Connector Nw, Rome, GA 30165-1233 | 2006-07-21 |
| 1962440461 | Laurie Ansley Gerhard | Nurse Practitioner | 28 John Davenport Dr Nw, Rome, GA 30165-2536 | 2006-06-04 |
| 1194703181 | Lisa Pinkard Acree | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-01-09 |
| 1235110263 | Lori Ponder | Nurse Practitioner | 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6065 | 2005-11-08 |
| 1689676041 | Karen Jean Roberts | Nurse Practitioner | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2005-08-15 |
| 1922605401 | Lauryn Goss Vines | Nurse Practitioner | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2020-10-07 |
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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.