JENNIFER KANALY (NPI# 1780045724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780045724 |
| Entity Type | Individual |
| Full Name | JENNIFER KANALY |
| Practice Address |
287 John Boswell Rd Peru NY 12972 |
| Mailing Address |
75 Beekman St Plattsburgh NY 12901-1438 |
| Practice Telephone | 5184202073 |
| Practice Fax Number | 5187630895 |
| Mailing Telephone | 5185627790 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401976 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
40 401976 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
287 JOHN BOSWELL RD |
| City | PERU |
| State | NY |
| Zip Code | 12972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275928467 | Tami Trombley | Counselor | 3681 State Roue 9, Peru, NY 12972 | 2015-04-03 |
| 1740568880 | Alison Rosenbaum | Counselor | 12 Elm Street, Peru, NY 12972 | 2011-07-22 |
| 1134422801 | Katherine V Lewis | Speech-Language Pathologist | 17 School Street, Peru Elementary School, Peru, NY 12972 | 2010-12-17 |
| 1295036135 | Mary Anne Cox | Social Worker | 13 Elm St, Peru Community Church, Peru, NY 12972 | 2010-11-09 |
| 1518122480 | Euclid Howard Jones | Dermatology | 436 Mannix Road, Peru, NY 12972 | 2008-07-21 |
| 1518136001 | Adirondack Medical Practice LLC | Nurse Practitioner | 3384 Rt 22, Peru, NY 12972 | 2008-02-28 |
| 1619020963 | Anna Theresa D'angelo | Physician Assistant | 9 Woodland Dr, Peru, NY 12972 | 2007-01-19 |
| 1982751830 | Sandra Marie Harris | Nurse Practitioner | 9 Elm Street, Peru, NY 12972 | 2007-01-04 |
| 1821195157 | Elizabeth Rose Ahern | Physician Assistant | 3384 Route 22, Peru, NY 12972 | 2006-09-20 |
| 1679684856 | Thomas Clinton Lamar | Dentist | 2970 Main St, Peru, NY 12972 | 2006-08-31 |
| Find all providers in zip 12972 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
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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.