MRS. STACEY JASKOLKA (NPI# 1922437805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922437805 |
| Entity Type | Individual |
| Full Name | MRS. STACEY JASKOLKA |
| Credential | MSN, RN, NP-C |
| Practice Address |
807 Newell St Utica NY 13502-5313 |
| Practice Telephone | 3157989300 |
| Practice Fax Number | 3157938320 |
| Mailing Telephone | 3157989300 |
| Mailing Fax Number | 3157938320 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2016-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
306718 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
807 NEWELL ST |
| City | UTICA |
| State | NY |
| Zip Code | 13502-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417942301 | Samir Desai | Internal Medicine | 807 Newell St, Utica, NY 13502-5313 | 2005-09-16 |
| 1194388579 | Ruyn N Cavic | Counselor | 807 Newell St, Utica, NY 13502-5313 | 2019-04-21 |
| 1508205550 | Tanya M Marr | Nurse Practitioner | 807 Newell St, Utica, NY 13502-5313 | 2013-06-21 |
| 1497053821 | Ndanda Annette Mabhena-ofori | Nurse Practitioner | 807 Newell St, Utica, NY 13502-5313 | 2011-03-09 |
| 1487613667 | Windy G Mitchell | Physician Assistant | 807 Newell St, Utica, NY 13502-5313 | 2006-03-17 |
| 1376532499 | Alicia Detraglia | Internal Medicine | 807 Newell St, Utica, NY 13502-5313 | 2005-10-20 |
| 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 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104964618 | Terri Sherman | Nurse Practitioner | Suny Institute of Technology, Horatio St. N., Utica, NY 13504-3050 | 2007-02-05 |
| 1518052653 | Cathryn Jones Barns | Nurse Practitioner | 1 Notre Dame Ln, Utica, NY 13502-4817 | 2006-10-04 |
| 1508856675 | Elaine Marie Trevisani | Nurse Practitioner | 110 Business Park Dr, Utica, NY 13502-6302 | 2005-10-28 |
| 1881247799 | Karen Ann Nesci | Nurse Practitioner | 116 Business Park Dr, 1st Floor, Utica, NY 13502-6313 | 2019-07-19 |
| 1285119917 | Melissa Ann Peruzzi | Nurse Practitioner | 2209 Genesee St, Utica, NY 13501-5930 | 2018-09-28 |
| 1588095384 | Lindsey Gilchrist | Nurse Practitioner | 1427 Genesee St, Utica, NY 13501-4343 | 2013-12-03 |
| 1558703264 | Valerie Yager | Nurse Practitioner | 2150 Bleecker St, Utica, NY 13501-1738 | 2013-07-23 |
| 1649395559 | Candace G Wilbur | Nurse Practitioner | 1400 Noyes St, Utica, NY 13502-3854 | 2007-03-20 |
| 1871688770 | Marguerite Williams | Nurse Practitioner | 1424 Genesee St, Utica, NY 13502-5101 | 2006-10-04 |
| 1053395152 | Vicki A. Haines | Nurse Practitioner | 1656 Champlin Ave, Suite 203, Utica, NY 13502-4830 | 2005-12-01 |
| Find all providers in UTICA | ||||
Please comment or provide details below to improve the information on MRS. STACEY JASKOLKA.
| 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.