ALYSSA EILEEN JACEK (NPI# 1952924052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952924052 |
Entity Type | Individual |
Full Name | ALYSSA EILEEN JACEK |
Practice Address |
919 Westfall Rd Building C Suite 100 Rochester NY 14618-2628 |
Mailing Address |
5 Nicolette Cir Rochester NY 14626-5005 |
Practice Telephone | 5853417500 |
Enumeration Date | 2020-05-22 |
Last Update Date | 2020-05-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
431735 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
919 WESTFALL RD BUILDING C SUITE 100 |
City | ROCHESTER |
State | NY |
Zip Code | 14618-2628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255728143 | Blanca Yvette Valdovinos | Psychiatry & Neurology | 919 Westfall Rd Building C, Suite 100, Rochester, NY 14618-0001 | 2015-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
Find all providers in zip 14618 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548820954 | Jacqueline Michalko | Nurse Practitioner | 601 Elmwood Ave # 619-736, Rochester, NY 14642-0001 | 2019-06-18 |
1306331459 | Lindsay Ann Watkins | Nurse Practitioner | 601 Elmwood Ave Unit 716, Rochester, NY 14642-0002 | 2018-06-29 |
1588064083 | Brittany A Swift | Nurse Practitioner | 32 Keswick Rd, Rochester, NY 14609-3309 | 2014-09-03 |
1891091575 | Rebecca Tucker | Nurse Practitioner | 610 Elmwood Ave, Rochester, NY 14642 | 2011-01-28 |
1669567871 | Maureen Walden | Nurse Practitioner | 11 Whitehall Road, Rochester, NH 03867-3297 | 2006-10-04 |
1700970225 | Joanne Vandevalk Clements | Nurse Practitioner | 601 Elmwood Ave, Box 604, Preadmission Evaluation Center, Rochester, NY 14642 | 2006-10-02 |
1891803177 | Kristine Elisabeth Miller | Nurse Practitioner | 1600 Chili Ave, Ste 200, Rochester, NY 14624 | 2006-08-28 |
1619083292 | Darby Leyden | Nurse Practitioner | 601 Elmwood Ave # 619-10, Rochester, NY 14642-0001 | 2006-08-23 |
1184676322 | Theresa M Domagola | Nurse Practitioner | 101 Canal Landing Blvd, Suite 8, Rochester, NY 14626-5109 | 2006-05-16 |
1861497182 | Krista L. Prinzi | Nurse Practitioner | 2365 Clinton Ave S, Rochester, NY 14618-2663 | 2005-06-14 |
Find all providers in ROCHESTER |
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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.