MS. BEVERLY J ADDISON (NPI# 1629257738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629257738 |
Entity Type | Individual |
Full Name | MS. BEVERLY J ADDISON |
Credential | NP |
Practice Address |
421 Montgomery St Fl 9 Syracuse NY 13202-2923 |
Practice Telephone | 3154353295 |
Practice Fax Number | 3154358242 |
Mailing Telephone | 3154353295 |
Mailing Fax Number | 3154358242 |
Enumeration Date | 2007-10-25 |
Last Update Date | 2007-10-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F300658-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
421 MONTGOMERY ST FL 9 |
City | SYRACUSE |
State | NY |
Zip Code | 13202-2923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275666554 | Diane Elliott Meszko | Nurse Practitioner | 421 Montgomery St Fl 9, Syracuse, NY 13202-2923 | 2007-03-14 |
1093939035 | Barbara Ellen Teich-visco | Advanced Practice Midwife | 421 Montgomery St Fl 9, Syracuse, NY 13202-2923 | 2007-04-12 |
1649393968 | Judith Behney Dowling | Nurse Practitioner | 421 Montgomery St Fl 9, Syracuse, NY 13202-2923 | 2007-04-10 |
1194848689 | Jane Marie Yorke | Nurse Practitioner | 421 Montgomery St Fl 9, Syracuse, NY 13202-2923 | 2007-04-09 |
1538282173 | Lee Elizabeth Quinlan | Nurse Practitioner | 421 Montgomery St Fl 9, Syracuse, NY 13202-2923 | 2007-04-09 |
1710001599 | Brenda Joyce Gonzalez | Nurse Practitioner | 421 Montgomery St Fl 9, Syracuse, NY 13202-2923 | 2007-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
Find all providers in zip 13202 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023520038 | Michaela Marie Murphy | Nurse Practitioner | 104 Union Ave Ste 901, Syracuse, NY 13203-1845 | 2017-10-31 |
1699299438 | Mary H Ryan | Nurse Practitioner | 302 Ludden Pkwy, Syracuse, NY 13219-3024 | 2017-08-02 |
1619302619 | Jennie Marie Doane | Nurse Practitioner | 236 Belle Ave, Syracuse, NY 13205-1938 | 2013-09-09 |
1376852129 | Pamela Wilcox Salisbury | Nurse Practitioner | 413 Breakspear Rd, Syracuse, NY 13219-2315 | 2010-09-28 |
1295975159 | Carol Ann Carioti | Nurse Practitioner | 101 Hamden Dr, Syracuse, NY 13208-1936 | 2009-03-04 |
1720206352 | Mary L. Salerno | Nurse Practitioner | 1007 Court St, Syracuse, NY 13208-1708 | 2007-04-20 |
1811030828 | Donna Ann Gillette | Nurse Practitioner | St. Camillus Health & Rehabilitation Center, 813 Fay Rd, Syracuse, NY 13219 | 2007-02-15 |
1225186588 | Marguerite H Mallia | Nurse Practitioner | 5075 W Senecatpke, Van Duyn Home & Hospital, Syracuse, NY 13215-2292 | 2007-01-05 |
1194837526 | Gail Mccue Donnery | Nurse Practitioner | 1000 E Genesee St Ste 403, Hill Medical Center, Syracuse, NY 13210-1840 | 2006-08-31 |
1750384004 | Brenda A Baker | Nurse Practitioner | 739 Irving Ave, Ste 520, Syracuse, NY 13210-1663 | 2005-05-31 |
Find all providers in SYRACUSE |
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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.