JACKIE GREENE (NPI# 1760733745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760733745 |
| Entity Type | Individual |
| Full Name | JACKIE GREENE |
| Credential | RN |
| Practice Address |
85 Metro Park Rochester NY 14623-2607 |
| Practice Telephone | 5852956417 |
| Practice Fax Number | 5856722527 |
| Mailing Telephone | 5852956417 |
| Mailing Fax Number | 5856722527 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
548327 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922644566 | Jackie Greene | Counselor | 700 Park Ave, Ironton, OH 45638-1502 | 2019-11-19 |
| Street Address |
85 METRO PARK |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649285354 | L Woerner Inc | Home Infusion | 85 Metro Park, Rochester, NY 14623-2607 | 2006-07-30 |
| 1710526868 | Christopher Chimenti | Physical Therapist | 85 Metro Park, Rochester, NY 14623-2607 | 2020-01-06 |
| 1518467307 | Quintella Taylor Lauderdale | Registered Nurse | 85 Metro Park, Rochester, NY 14623-2607 | 2018-02-19 |
| 1043693955 | Hcr Care Management LLC | Case Management | 85 Metro Park, Rochester, NY 14623-2607 | 2015-07-09 |
| 1508290982 | Brittany D'ambrosio | Physical Therapist | 85 Metro Park, Rochester, NY 14623-2607 | 2013-08-21 |
| 1629317508 | Sarah Miner | Registered Nurse | 85 Metro Park, Rochester, NY 14623-2607 | 2013-02-12 |
| 1093054975 | Tiffany Nicholson | Registered Nurse | 85 Metro Park, Rochester, NY 14623-2607 | 2013-02-12 |
| 1245579242 | Maria Mejias | Registered Nurse | 85 Metro Park, Rochester, NY 14623-2607 | 2013-02-11 |
| 1912242942 | Ruben Orona | Registered Nurse | 85 Metro Park, Rochester, NY 14623-2607 | 2012-12-03 |
| 1962753228 | Edelmira Sanzo | Registered Nurse | 85 Metro Park, Rochester, NY 14623-2607 | 2012-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487122180 | Penny Ann Bloom | Registered Nurse | 188 Clearwater Cir, Rochester, NY 14612-3081 | 2018-11-12 |
| 1952667164 | Kelly Evelyn Rekkerth | Registered Nurse | 144 Squareview Ln, Rochester, NY 14626-1868 | 2012-04-02 |
| 1730463928 | Audra D Clements | Registered Nurse | 162 Rawlinson Rd, Rochester, NY 14617-4636 | 2011-10-05 |
| 1689977753 | Eileen Mary Ludwig | Registered Nurse | 465 Blossom Rd Ste C1, Rochester, NY 14610-1842 | 2010-12-13 |
| 1174830145 | Philip A Mevs | Registered Nurse | 70 Metro Park, Rochester, NY 14623-2608 | 2010-09-10 |
| 1790315703 | Jacqueline Anne Germano | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2020-01-17 |
| 1003454877 | Nancy Marie Dann | Registered Nurse | 111 Westfall Rd, Rochester, NY 14620-4647 | 2019-12-12 |
| 1700372844 | Kathleen Anne Howard-schoeberl | Registered Nurse | 111 Westfall Rd, Rochester, NY 14620-4647 | 2018-07-02 |
| 1033504543 | Tiffiny Duchene | Registered Nurse | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2015-04-01 |
| 1366835464 | Faith Steves | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2015-03-13 |
| Find all providers in ROCHESTER | ||||
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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.