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).
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 |
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 |
Street Address |
10 HAGEN DR SUITE 200 |
City | ROCHESTER |
State | NY |
Zip Code | 14625-2660 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 14625 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043829047 | Ruhi Bedi Sondhi | Nurse Practitioner | 601 Elmwood Ave Fl Center4, Rochester, NY 14642-0001 | 2020-07-26 |
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 |
1093197857 | Katelynn Ann Coffey | Nurse Practitioner | 2350 Ridgeway Ave Ste B, Rochester, NY 14626-4127 | 2015-06-29 |
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.