JELANA GRISSOM (NPI# 1750931739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750931739 |
| Entity Type | Individual |
| Full Name | JELANA GRISSOM |
| Credential | NP |
| Practice Address |
124 Rosa Rd Suite 382 Schenectady NY 12308 |
| Practice Telephone | 5183863691 |
| Practice Fax Number | 5183863553 |
| Mailing Telephone | 5183863691 |
| Mailing Fax Number | 5183863553 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
344810 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
124 ROSA RD SUITE 382 |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770526972 | Christine Napolitano | Internal Medicine | 124 Rosa Rd, Suite 382, Schenectady, NY 12308 | 2006-06-14 |
| 1518511831 | Victoria Rose Every | Nurse Practitioner | 124 Rosa Rd, Suite 382, Schenectady, NY 12308 | 2019-07-25 |
| 1437602737 | Penny L Knichel | Nurse Practitioner | 124 Rosa Rd, Suite 382, Schenectady, NY 12308-2143 | 2016-08-03 |
| 1275918294 | Karen A Mulholland | Physician Assistant | 124 Rosa Rd, Suite 382, Schenectady, NY 12308 | 2015-07-21 |
| 1669884243 | Judy A Harris | Nurse Practitioner | 124 Rosa Rd, Suite 382, Schenectady, NY 12308 | 2014-05-29 |
| 1437591088 | Jeffrey A. Foley | Physician Assistant | 124 Rosa Rd, Suite 382, Schenectady, NY 12308 | 2013-07-24 |
| 1356689194 | Deanna Marie Santoro | Registered Nurse | 124 Rosa Rd, Suite 382, Schenectady, NY 12308 | 2013-01-29 |
| 1144583477 | Shannon Knapp | Nurse Practitioner | 124 Rosa Rd, Suite 382, Schenectady, NY 12308 | 2012-06-21 |
| 1285919084 | Danielle Simonson | Nurse Practitioner | 124 Rosa Rd, Suite 382, Schenectady, NY 12308-2143 | 2011-10-12 |
| 1467765677 | Jenna M Cassidy | Physician Assistant | 124 Rosa Rd, Suite 382, Schenectady, NY 12308-2143 | 2010-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295004125 | Mary C O'brien | Registered Nurse | 90 Elmer Ave, Schenectady, NY 12308 | 2011-12-21 |
| 1114203882 | Gina R Davenport | Speech-Language Pathologist | Zoller Elementary School, 1180 Lancaster Street, Schenectady, NY 12308 | 2011-10-26 |
| 1831472315 | Laura A Denofio | Social Worker | 1445 The Plaza, Schenectady, NY 12308 | 2011-09-21 |
| 1023328440 | Anthony G. Cortese | Social Worker | 1362 Union Street, Schenectady, NY 12308 | 2010-10-19 |
| 1205142288 | Jessica Lee Schoen | Pharmacist | 461 Nott Street, Schenectady, NY 12308 | 2010-08-27 |
| 1932411451 | Tracey E Zusman | Physician Assistant | 1101 Nott St., Schenectady, NC 12308 | 2010-07-13 |
| 1316274194 | Helping Hands Nurse Staffing Services, LLC | Nursing Care | 2180 Avenue B, Schenectady, NY 12308 | 2009-11-16 |
| 1831345628 | Schenectady Radiologists | Radiology | 1101 Nott Street, Schenectady, NY 12308 | 2008-08-12 |
| 1891973459 | Anthony Joseph De Palma Sr. | Dentist | 1351 Union Street, Schenectady, NY 12308 | 2008-02-06 |
| 1447464029 | Lauren Weisberg Savage | Social Worker | 1411 Union Street, Schen, NY 12308 | 2007-05-10 |
| Find all providers in zip 12308 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201507 | Sofia Alila-barratiere | Nurse Practitioner | 1101 Nott St Ste B6, Schenectady, NY 12308-2425 | 2020-09-27 |
| 1528670965 | Jacklyn Elyse Delzotto | Nurse Practitioner | 700 Mcclellan St Ste 101, Schenectady, NY 12304-1084 | 2020-08-18 |
| 1427675578 | Michelle Balagulan Borra | Nurse Practitioner | 4210 Court Royale Apt 8, Schenectady, NY 12304-1848 | 2020-07-05 |
| 1396368056 | Lisa Marie Glantzis | Nurse Practitioner | Sunnyview Hospital, 1270 Belmont Ave, Schenectady, NY 12308-1230 | 2020-05-28 |
| 1942841242 | Alison Elsheikh | Nurse Practitioner | 948 Meadow Ln, Schenectady, NY 12309-6529 | 2019-10-08 |
| 1598110397 | Jessica Ann Napoli-mcnally | Nurse Practitioner | 647 Draper Ave, Schenectady, NY 12306-3040 | 2016-04-28 |
| 1588004717 | Mary Elizabeth Mastrianni | Nurse Practitioner | 1201 Nott St Ste 204, Schenectady, NY 12308-2589 | 2013-07-02 |
| 1578774139 | Susan Lynn Manchester | Nurse Practitioner | 807 Union St, Silliman Hall, Schenectady, NY 12308-3103 | 2007-05-25 |
| 1386862860 | St. Peter's Hospitalof The City of Albany | Nurse Practitioner | 2925 Hamburg Street, Schenectady, NY 12303-4349 | 2007-04-23 |
| 1790869634 | Donna Sgarlata | Nurse Practitioner | 2125 River Rd Ste 103, Schenectady, NY 12309-1135 | 2006-10-25 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12308 |
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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.