NOELLE POLNIAK (NPI# 1598008229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598008229 |
| Entity Type | Individual |
| Full Name | NOELLE POLNIAK |
| Credential | N.P. |
| Practice Address |
160 Stone St Watertown NY 13601-3250 |
| Mailing Address |
50 Leroy St Potsdam NY 13676-1786 |
| Practice Telephone | 5185610605 |
| Practice Fax Number | 1518536903 |
| Mailing Telephone | 3152616034 |
| Mailing Fax Number | 3152616025 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2016-02-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F421117-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03574563 | 05 |
| Street Address |
160 STONE ST |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-3250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407907215 | Planned Parenthood of The North Country New York, Inc. | Case Management | 160 Stone St, Watertown, NY 13601-3250 | 2007-01-16 |
| 1811509276 | Lisa Dwello | Physician Assistant | 160 Stone St, Watertown, NY 13601-3261 | 2020-08-18 |
| 1477163426 | Samantha Jo Furman | Family Medicine | 160 Stone St, Watertown, NY 13601-3250 | 2020-08-05 |
| 1124636113 | Shellie A Green | Nurse Practitioner | 160 Stone St, Watertown, NY 13601-3250 | 2020-07-16 |
| 1912491374 | Jordan Robert Woodside | Nurse Practitioner | 160 Stone St, Watertown, NY 13601-3250 | 2018-06-19 |
| 1417470857 | Jordan Garry | Nurse Practitioner | 160 Stone St, Watertown, NY 13601 | 2017-07-18 |
| 1740632033 | Stephanie Boswell-davies | Midwife | 160 Stone St, Watertown, NY 13601-3250 | 2016-07-11 |
| 1992157291 | Gina Brandolino | Nurse Practitioner | 160 Stone St, Watertown, NY 13601-3250 | 2016-07-11 |
| 1326426487 | Abbey Jane Darling | Physician Assistant | 160 Stone St, Watertown, NY 13601-3261 | 2015-05-09 |
| 1477961217 | Shae Johnston | Nurse Practitioner | 160 Stone St, Watertown, NY 13601-3250 | 2014-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427414846 | Mariama Njie | Nurse Practitioner | 12 Rose Ave, Watertown, MA 02472-3013 | 2016-01-14 |
| 1255694204 | Rachel Lynn Recore | Nurse Practitioner | 22567 Summit Dr Ste A, Watertown, NY 13601-7233 | 2012-06-23 |
| 1255380580 | Joyce M. Wilder | Nurse Practitioner | 172 Clinton St, Watertown, NY 13601-3602 | 2006-05-05 |
| 1740549971 | North Country Midwifery, Pllc | Nurse Practitioner | 18564 Us Route 11, Suite 4, Watertown, NY 13601-5900 | 2012-05-08 |
| 1255520391 | Susan M Howard | Nurse Practitioner | 160 Stone St, Watertown, NY 13601-3250 | 2007-10-15 |
| 1609965565 | Jennifer Lee Zajac | Nurse Practitioner | 1575 Washington St, Watertown, NY 13601-9371 | 2006-10-11 |
| 1649221367 | Wise Woman Ob/gyn, PC | Nurse Practitioner | 172 Clinton St, Watertown, NY 13601-3602 | 2006-05-15 |
| 1447209754 | Kristin M. Lewis | Nurse Practitioner | 172 Clinton St, Watertown, NY 13601-3602 | 2006-05-06 |
| 1629035811 | Elena Bizounok | Nurse Practitioner | 521 Mount Auburn St, Ste 103, Watertown, MA 02472-4191 | 2006-05-01 |
| 1487610184 | Karen Elizabeth Howard | Nurse Practitioner | 128 Hospital Dr, Watertown, WI 53098-3304 | 2006-04-22 |
| Find all providers in WATERTOWN | ||||
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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.