KELLY F DIBBLE (NPI# 1124528740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124528740 |
| Entity Type | Individual |
| Full Name | KELLY F DIBBLE |
| Practice Address |
222 Alexander St Ste 5000 Rochester NY 14607-4064 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 5859228003 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 672014 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
222 ALEXANDER ST STE 5000 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14607-4064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053978130 | Bana Hagos | Social Worker | 222 Alexander St Ste 5000, Rochester, NY 14607-4064 | 2019-05-23 |
| 1912408295 | Kristen Gleason | Social Worker | 222 Alexander St Ste 5000, Rochester, NY 14607-4064 | 2018-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862333 | Zachery Mcatee | Pharmacist | 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 | 2020-02-07 |
| 1184274920 | Rhodette Gayhart | Technician | 70 Edmonds St., Apt. 2, Rochester, NY 14607 | 2019-09-13 |
| 1194209031 | Amy Knickerbocker | Nurse Practitioner | 224 Alexander St Ste 220, Rochester, NY 14607 | 2018-09-17 |
| 1366948424 | Monekia Michelle Moore | Peer Specialist | 320 North Goodman Street, Rochester, NY 14607 | 2018-04-05 |
| 1386160414 | Meghan Grant | Physical Therapist | 26 Harper Street, Rochester, NY 14607 | 2017-08-21 |
| 1548793722 | Burd Home Health LLC | In Home Supportive Care | 274 N Goodman St Ste A403, Rochester, NY 14607 | 2017-04-05 |
| 1154718799 | Azadeh Shahryarinejad | Social Worker | 16 North Goodman Street, Rochester, NY 14607 | 2015-04-21 |
| 1386086957 | Robert M Kerper Md, Pllc | Internal Medicine | 26 South Goodman Street, Rochester, NY 14607 | 2013-07-24 |
| 1275978058 | Sarah Lynn Fisher | Speech-Language Pathologist | Leap for Kids Ot, Pt & Slp, 372 N. Goodman St., Rochester, NY 14607 | 2013-05-07 |
| 1639410350 | Jonell Mae Belcher | Social Worker | 235 Alexander St Ste 4, Rochester, NY 14607 | 2013-03-05 |
| Find all providers in zip 14607 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406889 | Lauren Reposa | Nurse Practitioner | 420 Snipatuit Rd, Rochester, MA 02770-1843 | 2020-08-05 |
| 1558923599 | Megan Michelle Maurer | Nurse Practitioner | 343 Oakridge Dr, Rochester, NY 14617-2541 | 2019-06-30 |
| 1831674183 | Julie Marie Hammer | Nurse Practitioner | 1415 Portland Ave Ste 220, Rochester, NY 14621-3039 | 2018-10-02 |
| 1417439761 | Andrew Molnar | Nurse Practitioner | 4451 Carriage Hill Ct, Rochester, MI 48306-4672 | 2018-09-04 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1487163945 | Sylvana Adly Brickley | Nurse Practitioner | 40 Celebration Drive Dermatology, Rochester, NY 14642-0001 | 2017-09-27 |
| 1639603111 | Sos Recovery Services, Inc. | Nurse Practitioner | 234 Adams St, Rochester, PA 15074-2102 | 2017-04-12 |
| 1134534944 | Stephanie Solpietro | Nurse Practitioner | 601 Elmwood Ave Box 619-334, Rochester, NY 14642-0001 | 2014-07-01 |
| 1417200593 | Joann Bettin Trzcinski | Nurse Practitioner | 95 Canal Landing Blvd Ste A, Rochester, NY 14626-5111 | 2012-10-26 |
| 1750534129 | Sarah Marie Lokken | Nurse Practitioner | 30 Hagen Dr Ste 230, Rochester, NY 14625-2658 | 2008-10-29 |
| 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.