MS. DIANE M SCALISE


Address: 1450 Champlin Ave, Utica, NY 13502-3662
Phone: 6156249000

MS. DIANE M SCALISE (NPI# 1790776268) 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) 1790776268
Entity Type Individual
Full Name MS. DIANE M SCALISE
Credential NP
Practice Address 1450 Champlin Ave
Utica
NY 13502-3662
Mailing Address 10615 Doyle Rd
Deerfield
NY 13502-6809
Practice Telephone 6156249000
Enumeration Date 2005-11-02
Last Update Date 2020-02-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 301408 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02328581 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1450 Champlin Ave, Utica, NY 135023662 3156249000 3156249003

Office Location

Street Address 1450 CHAMPLIN AVE
City UTICA
State NY
Zip Code 13502-3662

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225656648 Casey Lynn Kilborne Nurse Practitioner 1450 Champlin Ave, Utica, NY 13502-3662 2020-07-13
1174036867 Marjorie Naples Dietitian, Registered 1450 Champlin Ave, Utica, NY 13502-3662 2017-11-16
1336570589 Sleep Disorders Lab of Central New York, LLC Sleep Specialist, PhD 1450 Champlin Ave, Suite 1, Utica, NY 13502-3662 2013-12-12
1194080291 Pulmonary Critical Care and Sleep Medicine Pllc Internal Medicine 1450 Champlin Ave, Utica, NY 13502-3662 2012-07-05
1750689451 Kamrul A. Khan Psychiatry & Neurology 1450 Champlin Ave, Utica, NY 13502-3662 2011-03-03
1376707521 Anwar Wassel Internal Medicine 1450 Champlin Ave, Utica, NY 13502-3662 2008-07-16
1104098631 Helen M Dolan Registered Nurse 1450 Champlin Ave, Utica, NY 13502-3662 2008-03-25
1669692638 Yekaterina A Kashtanova Internal Medicine 1450 Champlin Ave, Utica, NY 13502-3662 2007-05-01
1487773461 Dawn Marie Bard Pediatrics 1450 Champlin Ave, Utica, NY 13502-3662 2007-03-28
1841346111 Karen Burns Griffith Pediatrics 1450 Champlin Ave, Utica, NY 13502-3662 2007-01-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477152627 Mary Imogene Bassett Hospital Pharmacy 231 N Genesee St Fl 2, Utica, NY 13502 2020-10-20
1922635002 Beth Ann Laporte Social Worker Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 2020-03-26
1689216038 Mary Ann Stockhauser Dietitian, Registered 917 Newport Rd, Utica, NY 13502 2019-10-16
1538659719 Brenda Ann Cruse-malone Social Worker Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 2018-05-14
1184138265 Genesee Street Medical Health Psychiatry & Neurology 286 Genesee St Ste 5, Utica, NY 13502 2017-11-28
1518470244 Jeff Rohacek Counselor 1213 Court St., Suite 100, Utica, NY 13502 2017-11-16
1275044281 Adam C Schwartz Counselor 122 Business Park Drive, Suite 1, Utica, NY 13502 2017-10-17
1346767175 Jordynn Lynn Lee Licensed Practical Nurse 910 Mildred Ave, Utica, NY 13502 2017-08-23
1942751391 Amanda Karla Counselor 502 Court Street Suite 210, Utica, NY 13502 2016-10-20
1407229974 Hayley Hunt Physician Assistant 1658 Champlin Ave, Suite 335, Utica, NY 13502 2015-11-05
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265077101 Brittany Ross Nurse Practitioner 930 State Route 140 E, Utica, KY 42376-9003 2019-11-14
1982266763 Amanda L Mccabe Nurse Practitioner 1676 Sunset Ave Fl 4, Utica, NY 13502-5416 2019-07-02
1902381411 Alisha C Holloway Nurse Practitioner 11689 Squiers Blvd, Utica, MI 48315-5936 2018-10-01
1821311069 Ann Marie Markey Nurse Practitioner 2535 Genesee Street, Utica, NY 13501 2010-03-02
1801094693 Bonnie Sue Page Williams Nurse Practitioner 5917 Morris Road, Glen and Jeanine Steuner, Utica, NY 13502 2007-07-03
1669568317 Natalya Akhtyrsky Nurse Practitioner 1676 Sunset Ave., Utica, NY 13502 2006-10-04
1992793137 Karen C Flick Nurse Practitioner 1213 Court St, Utica, NY 13502-3803 2005-10-12
1194368936 Patricia Flihan Nurse Practitioner 1904 Genesee St, Utica, NY 13502-5646 2019-10-24
1083275564 Kayla Lynn Miller Nurse Practitioner 1256 Culver Ave, Utica, NY 13501-4253 2019-06-25
1063996890 Theresa Hagans Nurse Practitioner 1450 Champlin Ave Ste 1, Utica, NY 13502-3662 2018-09-18
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Competitor

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City UTICA
Zip Code 13502

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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