MRS. ELLEN A. BRIGNOLA (NPI# 1659689834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659689834 |
| Entity Type | Individual |
| Full Name | MRS. ELLEN A. BRIGNOLA |
| Credential | NP |
| Practice Address |
1 Tallow Wood Dr Clifton Park NY 12065-2807 |
| Mailing Address |
1 Tallow Wood Drive Clifton Park NY 12065 |
| Practice Telephone | 5183734444 |
| Practice Fax Number | 5183730663 |
| Mailing Telephone | 5183734444 |
| Mailing Fax Number | 5183730663 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2016-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F336354 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 336354 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | FIDELIS | 101209000118 | 01 |
| NY | SENIOR WHOLE HEALTH | 307090 | 01 |
| NY | MVP HEALTHCARE | 3014370 | 01 |
| NY | 03263650 | 05 | |
| NY | GHI/HMO | 644141 | 01 |
| Street Address |
1 TALLOW WOOD DR |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942287842 | James C Craig | Family Medicine | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2005-12-30 |
| 1043866346 | Erin Kathryn Student | Nurse Practitioner | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2019-08-13 |
| 1992282875 | Mary Grace Mendoza | Nurse Practitioner | 1 Tallow Wood Dr, Clifton Park, NY 12065 | 2018-07-24 |
| 1235503871 | Seton Health System | Nurse Practitioner | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2015-11-19 |
| 1457722795 | Seton Health System, Inc. | Internal Medicine | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2015-10-13 |
| 1740544576 | Rajendra Patel PC | Surgery | 1 Tallow Wood Dr, Suite 6, Clifton Park, NY 12065-2807 | 2012-06-26 |
| 1841584018 | Alice Yu | Family Medicine | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2011-06-06 |
| 1336460823 | Mark Doyle | Family Medicine | 1 Tallow Wood Dr, Clifton Park, NY 12065 | 2010-06-18 |
| 1184854101 | Neema R. Afejuku-adelaja | Family Medicine | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2009-07-24 |
| 1851580138 | Capital District Podiatry, Pllc | Podiatrist | 1 Tallow Wood Dr, Suite 7, Clifton Park, NY 12065-2807 | 2007-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| 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 |
|---|---|---|---|---|
| 1144880188 | Mariah Lache Mosley | Nurse Practitioner | Clifton Park Family Practice, 1 Tallow Wood Drive, Clifton Park, NY 12065-2807 | 2019-06-20 |
| 1346757127 | Amanda Dunham | Nurse Practitioner | 963 Route 146 Ste 1, Clifton Park, NY 12065-3636 | 2018-01-03 |
| 1427332337 | Elizabeth A Green | Nurse Practitioner | 9 Old Plank Rd Ste 102, Clifton Park, NY 12065-3107 | 2011-10-11 |
| 1265413470 | Sherrie L Murray | Nurse Practitioner | 939 Route 146 Ste 700, Clifton Park, NY 12065-3662 | 2005-11-07 |
| 1043866346 | Erin Kathryn Student | Nurse Practitioner | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2019-08-13 |
| 1235503871 | Seton Health System | Nurse Practitioner | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2015-11-19 |
| 1942552831 | Kathleen M Lind | Nurse Practitioner | 855 Route 146, Clifton Park, NY 12065-3885 | 2012-10-03 |
| 1558598367 | Dawne Louise Parker | Nurse Practitioner | 1 Tallow Wood Drive, Clifton Park Family Practice, Clifton Park, NY 12065 | 2009-06-18 |
| 1912126806 | Ruth Ellen Kelleher | Nurse Practitioner | 1 Tallow Wood Dr, Clifton Park, NY 12065 | 2007-04-25 |
| 1568573244 | Susan B Winchester | Nurse Practitioner | 989 Route 146, Building 200, Clifton Park, NY 12065-3646 | 2006-08-31 |
| Find all providers in CLIFTON PARK | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
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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.