MRS. BRENDA MAY MUNELLA (NPI# 1619017191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619017191 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA MAY MUNELLA |
| Credential | W.H.N.P.- BC |
| Practice Address |
15 S Main St Suite 130 Jamestown NY 14701-6626 |
| Mailing Address |
15 S Main St Suite 300 Jamestown NY 14701-6626 |
| Practice Telephone | 7164833520 |
| Practice Fax Number | 7164882760 |
| Mailing Telephone | 7164881877 |
| Mailing Fax Number | 7164881986 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-02-18 |
| 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 |
420715 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE PTAN | J400168937 | 01 |
| Street Address |
15 S MAIN ST SUITE 130 |
| City | JAMESTOWN |
| State | NY |
| Zip Code | 14701-6626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892708 | Christina M Brown | Internal Medicine | 15 S Main St, Suite 153, Jamestown, NY 14701-6626 | 2005-06-24 |
| 1699246850 | Jessica Lynne Cappa | Nurse Practitioner | 15 S Main St, Jamestown, NY 14701-6626 | 2018-12-16 |
| 1184159139 | Oludotun Olusegun Adegoke | Family Medicine | 15 S Main St, Jamestown, NY 14701-6626 | 2017-04-27 |
| 1114389293 | Shaden Alfallay | Internal Medicine | 15 S Main St, Jamestown, NY 14701-6626 | 2016-03-28 |
| 1720454556 | Christopher Saxton | Physical Therapist | 15 S Main St, Suite 220, Jamestown, NY 14701-6626 | 2015-08-17 |
| 1982085700 | Lori Ann Banse-fay | Registered Nurse | 15 S Main St, Suite 151, Jamestown, NY 14701-6626 | 2015-06-17 |
| 1730599176 | Great Lakes Physician Practice PC | Internal Medicine | 15 S Main St, Jamestown, NY 14701-6626 | 2014-05-07 |
| 1013355858 | Drew Gibson | Physical Therapy Assistant | 15 S Main St, Suite 220, Jamestown, NY 14701-6626 | 2013-06-13 |
| 1124463500 | Jenna M Ring | Nurse Practitioner | 15 S Main St, Suite 150, Jamestown, NY 14701-6626 | 2013-04-30 |
| 1619220423 | Julie Park | Physical Therapy Assistant | 15 S Main St, Suite 220, Jamestown, NY 14701-6626 | 2012-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
| 1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
| 1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
| 1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
| 1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
| 1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
| 1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
| 1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
| 1518336387 | Tracy Dudley | Licensed Practical Nurse | 764 Harding Ave, Jamestown, NY 14701 | 2015-09-22 |
| 1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
| Find all providers in zip 14701 | ||||
| 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 |
|---|---|---|---|---|
| 1861432338 | Joelle R Thomas | Nurse Practitioner | 122 2nd St Nw, Jamestown, ND 58401-3117 | 2006-06-06 |
| 1801857552 | Karen E Winterburn | Nurse Practitioner | 400 Foote Ave, Jamestown, NY 14701-6800 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464918 | Elena Carianna | Nurse Practitioner | 469 Clinton Ave Apt 1, Brooklyn, NY 11238-1732 | 2020-10-16 |
| 1265039291 | Barbara Sztukowski | Nurse Practitioner | 438 Stockholm St, Ridgewood, NY 11385-1333 | 2020-10-02 |
| 1821602814 | Rut Ester Almonte Ceron | Nurse Practitioner | 15045 73rd Ave Apt 3h, Flushing, NY 11367-2610 | 2020-09-07 |
| 1073127544 | Stacy E Garrity | Nurse Practitioner | 453 W Broadway, New York, NY 10012 | 2020-09-02 |
| 1780296434 | Ashley Leonia Valeus | Nurse Practitioner | 3415 Parsons Blvd Apt 2l, Flushing, NY 11354-4619 | 2020-08-22 |
| 1013529692 | Angelina Yushuvayev | Nurse Practitioner | 14703 77th Rd, Flushing, NY 11367-3428 | 2020-08-17 |
| 1417567942 | Amanpreet Karir | Nurse Practitioner | 1305 York Ave Ste 6, New York, NY 10021-5663 | 2020-08-10 |
| 1700495249 | Jessica Bobadilla | Nurse Practitioner | 9960 63rd Rd Apt 11w, Rego Park, NY 11374-1925 | 2020-07-30 |
| 1144844812 | Charlene Santos-alvarez | Nurse Practitioner | 8450 169th St Apt 502, Jamaica, NY 11432-2018 | 2020-05-29 |
| 1346863610 | Maria Furman | Nurse Practitioner | 130 E 93rd St Apt 5d, New York, NY 10128-1624 | 2020-05-21 |
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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.