MRS. KELLY EVELYN REKKERTH (NPI# 1952667164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952667164 |
| Entity Type | Individual |
| Full Name | MRS. KELLY EVELYN REKKERTH |
| Credential | RN |
| Practice Address |
144 Squareview Ln Rochester NY 14626-1868 |
| Practice Telephone | 5856988891 |
| Mailing Telephone | 5856988891 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
22616242 | NY | Nursing Service Providers |
| N | 163WH1000X |
Registered Nurse Specialization: Hospice |
22616242 | NY | Nursing Service Providers |
| Street Address |
144 SQUAREVIEW LN |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487122180 | Penny Ann Bloom | Registered Nurse | 188 Clearwater Cir, Rochester, NY 14612-3081 | 2018-11-12 |
| 1730463928 | Audra D Clements | Registered Nurse | 162 Rawlinson Rd, Rochester, NY 14617-4636 | 2011-10-05 |
| 1689977753 | Eileen Mary Ludwig | Registered Nurse | 465 Blossom Rd Ste C1, Rochester, NY 14610-1842 | 2010-12-13 |
| 1174830145 | Philip A Mevs | Registered Nurse | 70 Metro Park, Rochester, NY 14623-2608 | 2010-09-10 |
| 1790315703 | Jacqueline Anne Germano | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2020-01-17 |
| 1003454877 | Nancy Marie Dann | Registered Nurse | 111 Westfall Rd, Rochester, NY 14620-4647 | 2019-12-12 |
| 1700372844 | Kathleen Anne Howard-schoeberl | Registered Nurse | 111 Westfall Rd, Rochester, NY 14620-4647 | 2018-07-02 |
| 1033504543 | Tiffiny Duchene | Registered Nurse | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2015-04-01 |
| 1366835464 | Faith Steves | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2015-03-13 |
| 1346681673 | Kimberly Anne Spitzer | Registered Nurse | 111 Westfall Rd, Rochester, NY 14620-4647 | 2013-07-15 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on MRS. KELLY EVELYN REKKERTH.
| 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.