MS. KIM ANN CRUTTENDEN


Address: 10 Hagen Dr, Suite 200, Rochester, NY 14625-2660
Phone: 5853856070

MS. KIM ANN CRUTTENDEN (NPI# 1780838086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780838086
Entity Type Individual
Full Name MS. KIM ANN CRUTTENDEN
Credential NP
Practice Address 10 Hagen Dr
Suite 200
Rochester
NY 14625-2660
Practice Telephone 5853856070
Mailing Telephone 5853856070
Enumeration Date 2008-11-13
Last Update Date 2009-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F304862-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10 HAGEN DR
SUITE 200
City ROCHESTER
State NY
Zip Code 14625-2660

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902880065 Gretchen Anne Welch Occupational Therapist 10 Hagen Dr, Suite 210, Rochester, NY 14625-2660 2005-12-02
1003171083 On Nutrition, Pllc Dietitian, Registered 10 Hagen Dr, Suite 200, Rochester, NY 14625-2660 2012-07-06
1194091801 Unity Linden Oaks Surgery Center, LLC Clinic/Center 10 Hagen Dr, Suite 110, Rochester, NY 14625-2697 2012-03-27
1245554013 Carol Szymczak Plotkin Dietitian, Registered 10 Hagen Dr, 200, Rochester, NY 14625-2660 2010-03-22
1013243997 Sleep Insights Management Services,llc Psychiatry & Neurology 10 Hagen Dr, Suite 120, Rochester, NY 14625-2660 2009-10-27
1477794337 Carol T Vanbork Occupational Therapist 10 Hagen Dr, Suite 210, Rochester, NY 14625-2660 2009-03-23
1407018963 Andrew W Smith Plastic Surgery 10 Hagen Dr, Suite 310, Rochester, NY 14625-2660 2008-06-26
1326217589 Linden Oaks Internal Medicine, LLP Internal Medicine 10 Hagen Dr, Suite 350, Rochester, NY 14625-2660 2008-02-21
1538345814 Sleep Insights Medical Services, LLC Internal Medicine 10 Hagen Dr, Suite 200, Rochester, NY 14625-2660 2008-01-16
1447431507 Amy Catherine Rama Nurse Practitioner 10 Hagen Dr, Suite 200, Rochester, NY 14625-2660 2007-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205305729 Christopher Corona Psychologist 100 Linden Oaks, Suite 102, Rochester, NY 14625 2018-11-14
1770932147 Ashley Mills Optometrist 10 Woodcrest Dr, Rochester, NY 14625 2016-06-07
1003260837 Natalia Golub Internal Medicine 30 Hagen Dr Ste 320, Rochester, NY 14625 2016-04-18
1386051688 Amelia K Caraway Physician Assistant 20 Hagon Dr., Suite 300, Rochester, NY 14625 2014-07-18
1750793980 Eileen M Wayne Registered Nurse 36a Brook Hill Lane, Rochester, NY 14625 2014-05-22
1003241068 Timothy Sterling Cooper Chiropractor 2480 Browncroft Blvd Ste 118, Rochester, NY 14625 2013-09-10
1740556265 Kelly M Limbeck Speech-Language Pathologist 2590 Atlantic Avenue, Denfield, NY 14625 2012-03-29
1952691743 Sandra Anne Swanson Massage Therapist 1694 Penfield Rd., Catalyst Health Group, Rochester, NY 14625 2011-04-13
1396994109 Celso E Dias Surgery 30 Hagen Dr Suite 120, Rochester, NY 14625 2008-09-17
1568643849 Richard F. Eagleton Pharmacist 1601 Penfield Road, Rochester, NY 14625 2007-11-15
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1346865920 Christopher M Mccarty Nurse Practitioner 2400 S Clinton Ave Bldg D, Rochester, NY 14618-2668 2020-06-10
1811510555 Stacey Sang Nurse Practitioner 400 Red Creek Dr Ste 220, Rochester, NY 14623-4281 2020-05-27
1093365280 Brittany Lewis Nurse Practitioner 180 Sawgrass Dr Ste 220, Rochester, NY 14620-4651 2019-09-19
1245891431 Julie Loce Nurse Practitioner 222 Alexander St Ste 2400, Rochester, NY 14607-4010 2019-06-27
1467013433 Henry Robert Newcomb Nurse Practitioner 300 Crittendon Blvd, Rochester, NY 14642-0001 2019-06-21
1689159162 Mariya A Canham Nurse Practitioner 2400 S Clinton Ave, Building H, Suite 150, Rochester, NY 14618-2668 2018-10-01
1013447747 Lauren Beth Bartus Nurse Practitioner 601 Elmwood Ave # 619, Rochester, NY 14642-0001 2017-06-15
1730634502 Susan Lee Riggan Nurse Practitioner 408 Meadow Brook Rd, Rochester, MI 48309-4452 2016-08-22
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Competitor

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City ROCHESTER
Zip Code 14625

Improve Information

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Dataset Information

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.

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