JOELLE UNDERWOOD (NPI# 1871770511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871770511 |
| Entity Type | Individual |
| Full Name | JOELLE UNDERWOOD |
| Credential | FNP |
| Practice Address |
6 Franklin Rd Walton NY 13856-1214 |
| Practice Telephone | 6078655800 |
| Mailing Telephone | 6078655800 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F335119 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6 FRANKLIN RD |
| City | WALTON |
| State | NY |
| Zip Code | 13856-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699748624 | Otsego Medical Services P.C. | Family Medicine | 6 Franklin Rd, Walton, NY 13856-1214 | 2006-02-09 |
| 1043522170 | Kim Evelyn Halaquist | Nurse Practitioner | 6 Franklin Rd, Walton, NY 13856-1214 | 2010-07-06 |
| 1801869821 | Eric A Dohner | Family Medicine | 6 Franklin Rd, Walton, NY 13856-1214 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164973962 | Leeann Otto | Registered Nurse | 88 Griswold St, Walton, NY 13856 | 2016-10-18 |
| 1134518582 | Crystal Burr | Licensed Practical Nurse | 1773 Dryden Rd, Walton, NY 13856 | 2015-01-22 |
| 1043573348 | Dawn F. Northrup | Registered Nurse | 47-49 Stockton Ave., Walton, NY 13856 | 2012-06-21 |
| 1659657120 | Gladys A Frazier | Registered Nurse | 42 North Street, Walton, Ny,13856, NY 13856 | 2011-10-28 |
| 1073763918 | William S Korwan | Dentist | 83 Liberty St, Walton, NY 13856 | 2008-09-29 |
| 1609039866 | Diane Zieba-virone | Pharmacist | 215 Delaware Street, Walton, NY 13856 | 2008-07-08 |
| 1326133752 | Edward Arthur Wilson | Social Worker | Delaware County Mental Health Clinic, One Hospital Road, Walton, NY 13856 | 2006-10-03 |
| 1104930593 | Michael C Free | Physician Assistant | 1 Titus Place, Walton, NY 13856 | 2006-08-19 |
| 1568445583 | Julie Beth Vernold | Nurse Practitioner | 130 North St., Walton, NY 13856 | 2005-11-23 |
| 1184621062 | Cynthia M Cantwell | Nurse Practitioner | 2 Titus Place, Walton, NY 13856 | 2005-07-07 |
| Find all providers in zip 13856 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568445583 | Julie Beth Vernold | Nurse Practitioner | 130 North St., Walton, NY 13856 | 2005-11-23 |
| 1184621062 | Cynthia M Cantwell | Nurse Practitioner | 2 Titus Place, Walton, NY 13856 | 2005-07-07 |
| 1871983635 | Olivia So | Nurse Practitioner | 625 Chestnut Dr, Ste 106, Walton, KY 41094-7845 | 2015-02-02 |
| 1427471408 | Kiosk Medicinen Kentucky LLC | Nurse Practitioner | 635 Chestnut Dr, Walton, KY 41094-7841 | 2014-01-28 |
| 1275964942 | Christina Jones | Nurse Practitioner | 130 North St, Walton, NY 13856-1218 | 2013-12-06 |
| 1457614273 | Lauren Nicole Doolittle | Nurse Practitioner | 635 Chestnut Dr, Walton, KY 41094-7841 | 2012-06-18 |
| 1902181258 | Sandra Jean Alexander-lewis | Nurse Practitioner | 635 Chestnut Dr, Walton, KY 41094 | 2011-10-19 |
| 1043522170 | Kim Evelyn Halaquist | Nurse Practitioner | 6 Franklin Rd, Walton, NY 13856-1214 | 2010-07-06 |
| 1629051354 | Shirley Elizabeth Salton | Nurse Practitioner | 2 Titus Pl, Walton, NY 13856-1455 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| 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.