MRS. KRISTA LYNN IANNETTA


Address: 16783 Ives Street Road, Watertown, NY 13601
Phone: 3157885377

MRS. KRISTA LYNN IANNETTA (NPI# 1942550934) 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) 1942550934
Entity Type Individual
Full Name MRS. KRISTA LYNN IANNETTA
Credential TSHH
Practice Address 16783 Ives Street Road
Watertown
NY 13601
Mailing Address P.o. Box 831 128 West Main Street
Apartment 2;
Brownville
NY 13615-0831
Practice Telephone 3157885377
Practice Fax Number 3157885373
Mailing Telephone 3157671707
Enumeration Date 2012-09-17
Last Update Date 2012-09-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Office Location

Street Address 16783 IVES STREET ROAD
City WATERTOWN
State NY
Zip Code 13601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093052524 Rebecca Garner Psychologist 16783 Ives Street Road, Watertown, NY 13601 2013-01-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801414156 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 2020-07-13
1083231377 Katherine Anne Cahill Counselor 22679 Duffy Road, Watertown, NY 13601 2020-07-02
1851855431 Hanna Kearney Physical Therapist 20053 Summit View Blvd Ste 2, Watertown, NY 13601 2019-01-28
1578039905 North Country Counseling Services LLC Counselor 210 Court St. Suite 4, Watertown, NY 13601 2018-10-24
1073004388 Megan Anna O'brien Counselor 221 S Rutland Street, Watertown, NY 13601 2018-05-22
1558860536 Kimberly Lynne Amelio Specialist 24850 Hinds Rd, Watertown, NY 13601 2018-02-06
1952840050 Alberto Gonzalez Social Worker 211 Jb Wise Plaza, Watertown, NY 13601 2017-02-22
1073967386 Amanda Pisarski Licensed Practical Nurse 26713 Nys Rte 12, Watertown, NY 13601 2016-04-22
1396137709 Daniel Ernest Morgan Neuromusculoskeletal Medicine & OMM 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 2015-02-21
1568868131 Megan E. Zamora Dental Hygienist 14652-b Cedar Way, Watertown, NY 13601 2014-11-10
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144884172 Cheryl Lou Martin Specialist 732 Gotham St, Watertown, NY 13601-4008 2019-04-25
1558860536 Kimberly Lynne Amelio Specialist 24850 Hinds Rd, Watertown, NY 13601 2018-02-06
1508241878 Upstate Radiology, PC Specialist 1116 Arsenal St Ste 504, Watertown, NY 13601-2229 2015-07-28
1730563396 Shannon Marie Foy Specialist 20104 Arsenal Street Rd, Watertown, NY 13601-5555 2015-07-14
1235525007 Julie Choate Specialist 11660 Deegan Ave Se, Watertown, MN 55388-8306 2015-04-08
1437554987 Kelly Grass Specialist 449 Cross St, Watertown, NY 13601-3214 2014-10-27
1639430739 Wendy Mccormick Specialist 120 Washington St Ste 306, Watertown, NY 13601-3330 2012-06-05
1285962407 Ana Laura Stuart Specialist 50 Watertown St, #214, Watertown, MA 02472-2542 2009-11-29
1619201795 Cassandra Marie Ladd-bashford Specialist 19472 Us Rt 11, Watertown, NY 13601 2009-09-23
1578718177 Tracy Nicole Klock Specialist 380 Gaffney Dr, Watertown, NY 13601-1863 2008-11-24
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Competitor

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City WATERTOWN
Zip Code 13601

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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