KELLEY HASSELBACH (NPI# 1902268014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902268014 |
| Entity Type | Individual |
| Full Name | KELLEY HASSELBACH |
| Practice Address |
40 Henrietta Blvd Amsterdam NY 12010-1111 |
| Mailing Address |
2841 Thousand Acres Rd Delanson NY 12053-1917 |
| Practice Telephone | 5188433003 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
40 HENRIETTA BLVD |
| City | AMSTERDAM |
| State | NY |
| Zip Code | 12010-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891029427 | Crystal L Walker | Physical Therapist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2009-09-29 |
| 1063065431 | Amanda Lee Goodding | Licensed Practical Nurse | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2019-07-24 |
| 1225511371 | Melissa Egnor | Specialist/Technologist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2018-09-13 |
| 1851878953 | Kaley Rebecca Green | Occupational Therapy Assistant | 40 Henrietta Blvd, Amsterdam, NY 12010 | 2018-07-23 |
| 1861981516 | Taylor Chavanne | Speech-Language Pathologist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2018-05-08 |
| 1164927216 | Laura Massonne | Occupational Therapist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2018-03-29 |
| 1568964799 | Elizabeth Pawloski | Occupational Therapist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2018-03-04 |
| 1942715453 | Jessica Thoman | Specialist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2017-12-06 |
| 1912419417 | Ashlee Frazier | Developmental Therapist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2017-10-25 |
| 1104338680 | Julie Perrotto | Social Worker | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2017-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863816 | Julia Subik | Nurse Practitioner | 3768 Ny-30, Amsterdam, NY 12010 | 2020-08-26 |
| 1124674957 | Jessica Lee Benoit | Family Medicine | 5010 Ny-30, Amsterdam, NY 12010 | 2019-08-16 |
| 1679138986 | Martha Maria Staring | Counselor | 4988 Ny-30, Amsterdam, NY 12010 | 2019-05-02 |
| 1982169991 | Courtney Caralynn Paton | Nurse Practitioner | 446 B Guy Park Avenue, Amsterdam, NY 12010 | 2019-02-04 |
| 1053845628 | Linda Sue Sperow | Registered Nurse | 341 Church St., Amsterdam, NY 12010 | 2017-04-20 |
| 1376902734 | Nysarc Inc Montgomery County Chapter Liberty | Clinic/Center | 47 Liberty Dr, Amsterdam, NY 12010 | 2016-02-15 |
| 1780050880 | Pamela T Wadsworth | Occupational Therapist | 47 Liberty Drive, Amsterdam, NY 12010 | 2015-08-12 |
| 1366791600 | Nicole Cadwell | Licensed Practical Nurse | 34 Finlay St, Amsterdam, NY 12010 | 2012-08-31 |
| 1700147428 | Noah Reiss Md PC | Allergy & Immunology | 4456 State Hwy 30, Amsterdam, NY 12010 | 2012-05-30 |
| 1265723738 | Amy Martelle | Speech-Language Pathologist | 11 Liberty Street, Greater Amsterdam School District, Amsterdam, NY 12010 | 2011-05-02 |
| Find all providers in zip 12010 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871002089 | Elizabeth Donna Page | Specialist | 43 Henrietta Blvd, Amsterdam, NY 12010-1110 | 2017-09-20 |
| 1639431901 | Theresa Marie Johnson | Specialist | 465 Locust Ave, Amsterdam, NY 12010-1927 | 2012-06-13 |
| 1104118306 | Sherri Korona | Specialist | 233 Guy Park Ave, Amsterdam, NY 12010-2334 | 2011-05-05 |
| 1003051905 | Amsterdam Orthopedics, Charles J Bertuch,jr,md,pc | Specialist | 124 Polar Plz, Route 30 North, Amsterdam, NY 12010-1610 | 2008-12-05 |
| 1861646440 | Amy L Vanevera | Specialist | 2360 County Highway 107, Amsterdam, NY 12010-6228 | 2008-11-10 |
| 1891977559 | Upstate Medical Associates Pllc | Specialist | 446b Guy Park Ave., Amsterdam, NY 12010-1005 | 2007-12-04 |
| 1942715453 | Jessica Thoman | Specialist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2017-12-06 |
| 1902262207 | Johnathan Valovic | Specialist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2016-01-04 |
| 1194199216 | Eileen Hempstead | Specialist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2015-12-01 |
| 1366839318 | Jennifer Nicole Nasadoski | Specialist | 40 Catherine St, Amsterdam, NY 12010-5118 | 2015-04-16 |
| Find all providers in AMSTERDAM | ||||
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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.