KELLIE MCCRACKEN (NPI# 1013464411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013464411 |
| Entity Type | Individual |
| Full Name | KELLIE MCCRACKEN |
| Credential | RN |
| Practice Address |
81 Lake Avenue Rochester NY 14608 |
| Practice Telephone | 5853686901 |
| Practice Fax Number | 5855465806 |
| Mailing Telephone | 5853686901 |
| Mailing Fax Number | 5855465806 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
554297 | NY | Nursing Service Providers |
| Street Address |
81 LAKE AVENUE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578653929 | Amy L Archer | Social Worker | 81 Lake Avenue, Evelyn Brandon Health Center, Rochester, NY 14608 | 2006-10-14 |
| 1467909069 | Nicole Richards | Counselor | 81 Lake Avenue, Rochester, NY 14608 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138184 | Starzom, LLC | Transportation Broker | 803 South Plymouth Avenue, Rochester, NY 14608 | 2019-01-16 |
| 1750864500 | Nikki Haynesworth | Counselor | 394 Frederick Douglass St., Rochester, NY 14608 | 2018-09-07 |
| 1639614498 | Atiya Abdus-samad | Technician | 104 Cady Street, Rochester, NY 14608 | 2017-01-03 |
| 1467806703 | Beverley Adams | Licensed Practical Nurse | 200 Frost Avenue, Rochester, NY 14608 | 2016-04-22 |
| 1497114037 | Amanda Martinez | Licensed Practical Nurse | 125 Minnesota St, Rochester, NY 14608 | 2016-02-10 |
| 1366771750 | Tracy Lynn Clark | Licensed Practical Nurse | 2 Backus St, Rochester, NY 14608 | 2009-12-14 |
| 1033397252 | Tracy Stevens | Registered Nurse | 280 Seward Street, Rochester, NY 14608 | 2008-02-11 |
| 1902906233 | Kevin M Mcintyre | Psychiatry & Neurology | 81 Lake Ave., Rochester, NY 14608 | 2006-09-25 |
| 1427088913 | Steven M Ess | Chiropractor | 309 Exchange Blvd, Rochester, NY 14608 | 2006-07-03 |
| 1588147334 | Sarah Theresa Lamb | Counselor | 55 Troup St, Rochester, NY 14608 | 2018-09-07 |
| Find all providers in zip 14608 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194231381 | Mildred Ann Cottrell | Registered Nurse | 2360 Broadway Ave N, Rochester, MN 55906-4065 | 2017-12-26 |
| 1598373730 | Mary Ann Kachelski | Registered Nurse | 602 11th Ave Nw Ste 300, Rochester, MN 55901-2297 | 2020-07-14 |
| 1821588575 | Gina Marie Natarelli | Registered Nurse | 55 Troup St, Rochester, NY 14608-2053 | 2018-05-17 |
| 1346498854 | Virginia Cross | Registered Nurse | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2008-09-09 |
| 1861640369 | Cheryl Almeter | Registered Nurse | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2008-09-09 |
| 1780832295 | Lisa M Sofia | Registered Nurse | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2008-09-09 |
| 1124276639 | Yvonne Vicaretti | Registered Nurse | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2008-09-09 |
| 1063660579 | Shawna Davies | Registered Nurse | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2008-09-09 |
| 1528216660 | Maria Egenlauf | Registered Nurse | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2008-09-03 |
| 1982852026 | Kathleen Gursslin | Registered Nurse | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2008-09-03 |
| 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.