JACKLIN ANDERSON (NPI# 1720458904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720458904 |
| Entity Type | Individual |
| Full Name | JACKLIN ANDERSON |
| Credential | RN |
| Practice Address |
321 W Onondaga St Suite 201 Syracuse NY 13202-3207 |
| Mailing Address |
206 Fergerson Park North Syracuse NY 13212-2323 |
| Practice Telephone | 3154780610 |
| Practice Fax Number | 3154782510 |
| Mailing Telephone | 3157274812 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 6960321 | NY | Nursing Service Providers |
| Street Address |
321 W ONONDAGA ST SUITE 201 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13202-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174715114 | Zsuzsa Szombathyne Meszaros | Psychiatry & Neurology | 321 W Onondaga St, Suite 201, Syracuse, NY 13202-3207 | 2007-08-14 |
| 1710593090 | Sarah Rose Bennett | Social Worker | 321 W Onondaga St, Syracuse, NY 13202-3262 | 2020-09-22 |
| 1447865613 | Jaclyn Abbott | Counselor | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2020-09-14 |
| 1407461924 | Jillian Colby Deland | Social Worker | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2020-09-11 |
| 1760011829 | Kyle David Holst | Peer Specialist | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2020-04-02 |
| 1114560182 | Michelle Kluczinske | Registered Nurse | 321 W Onondaga St, Syracuse, NY 13202-3262 | 2019-10-23 |
| 1730736711 | Nicole A Wenham | Counselor | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2019-08-23 |
| 1871148486 | Joshua David Salvage | Student in an Organized Health Care Education/Training Program | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2019-08-09 |
| 1659923845 | Alyssa Lynn Swierk | Social Worker | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2019-07-09 |
| 1497314728 | Jessica Kish | Counselor | 321 W Onondaga St, Syracuse, NY 13202-3262 | 2019-06-11 |
| Find all providers in the same location | ||||
| 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 | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528858 | Melissa Marie Leppard | Registered Nurse | 5092 Jennifer Dr, Syracuse, NY 13212-1009 | 2020-11-06 |
| 1730799289 | Briana Mitchell | Registered Nurse | 402 Hoefler St, Syracuse, NY 13204-3424 | 2020-08-08 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1225654023 | Thelma Everson | Registered Nurse | 511 Yale Ave, Syracuse, NY 13219-2657 | 2020-06-18 |
| 1396367785 | Jeffrey Alan Gaulrapp | Registered Nurse | Upstate University Hospital Community General Campus, 4900 Broad Road, Syracuse, NY 13215 | 2020-05-08 |
| 1770127425 | Ashley Causey | Registered Nurse | 120 Charles Ave Apt 2, Syracuse, NY 13209-1608 | 2019-11-05 |
| 1164064119 | Corinne Monique Hertsel | Registered Nurse | 107 W Pickwick Dr Ste A, Syracuse, IN 46567-1832 | 2019-10-10 |
| 1447801618 | Kelsey Nicole Desso | Registered Nurse | 5214 Corporal Welch Rd, Syracuse, NY 13215-8653 | 2019-09-27 |
| 1972155125 | Claire A Conroy | Registered Nurse | Westhill High School, 4501 Onondaga Blvd, Syracuse, NY 13219 | 2019-07-09 |
| 1568023612 | Christopher Michael Souza | Registered Nurse | 736 Irving Ave Ste 500, Syracuse, NY 13210-1687 | 2019-06-27 |
| 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.