DORIS JEAN LANDRETH (NPI# 1174810279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174810279 |
| Entity Type | Individual |
| Full Name | DORIS JEAN LANDRETH |
| Credential | FNP-C |
| Practice Address |
1160 Chili Ave Rochester NY 14624-3035 |
| Mailing Address |
3040 Stever Rd Avoca NY 14809-9526 |
| Practice Telephone | 5852351514 |
| Mailing Telephone | 6073823908 |
| Enumeration Date | 2011-07-09 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | SP020366 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
336901 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1160 CHILI AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14624-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902868037 | Thomas Francis Stephenson | Radiology | 1160 Chili Ave, Westside Imaging Center Suite 120, Rochester, NY 14624-3035 | 2006-04-04 |
| 1932707064 | Taylor Mustizer | Physician Assistant | 1160 Chili Ave, Rochester, NY 14624-3035 | 2020-10-12 |
| 1801442652 | Mckenna Kimberly Barry | Physical Therapist | 1160 Chili Ave, Rochester, NY 14624-3035 | 2019-08-16 |
| 1780071753 | Brenda Chadwick | Nurse Practitioner | 1160 Chili Ave, Suite 108, Rochester, NY 14624-3035 | 2015-04-17 |
| 1891188033 | Jeongjin Lee | Nurse Practitioner | 1160 Chili Ave, Suite 200, Rochester, NY 14624-3035 | 2015-03-12 |
| 1861891848 | Workfit Medical | Clinic/Center | 1160 Chili Ave, Rochester, NY 14624-3035 | 2014-08-15 |
| 1366869265 | Sandeep Kaur | Physician Assistant | 1160 Chili Ave, Rochester, NY 14624-3035 | 2014-03-28 |
| 1629339395 | Jared Joseph Anderson | Chiropractor | 1160 Chili Ave, Suite 100, Rochester, NY 14624-3035 | 2012-05-30 |
| 1912277724 | Rocehster Walk In Care Medical Treatment Pllc | Clinic/Center | 1160 Chili Ave, Suite 200, Rochester, NY 14624-3035 | 2012-01-10 |
| 1275851818 | Workfit Medical, LLC | Clinic/Center | 1160 Chili Ave, Suite 200, Rochester, NY 14624-3035 | 2010-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131797 | Tim's Trim Inc. | Contractor | 25 Bermar Park, Rochester, NY 14624 | 2019-12-11 |
| 1659830537 | Onita Princene Thomas | Non-emergency Medical Transport (VAN) | 38 Mulcahy Blvd, Rochester, NY 14624 | 2019-03-19 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1912431123 | Ashley Marie Mooney | Dentist | 2300 Buffalo Rd Bldg 400, Rochester, NY 14624 | 2017-04-13 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1134520729 | Karleigh J Sharp | Physician Assistant | 1160 Chili Ave., Suite 200, Rochester, NY 14624 | 2014-09-15 |
| 1174945398 | Lorraine Clarissa Bryan | Licensed Practical Nurse | 2 Hinkley Lane, Gates, NY 14624 | 2014-01-07 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| 1700212388 | Monique Shiree Lawrence | Licensed Practical Nurse | 103 Norway Spruce Drive, Rochester, NY 14624 | 2013-09-16 |
| 1497019921 | Emily Lengen | Specialist | 6 Alderbrook Trail, Rochester, NY 14624 | 2012-06-29 |
| Find all providers in zip 14624 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1073111738 | Melissa E Spencer | Nurse Practitioner | 1338 E Ridge Rd Ste 101, Rochester, NY 14621-2017 | 2020-10-15 |
| 1295345254 | Kristin Colleen Fleming | Nurse Practitioner | 400 Red Creek Dr Ste 110, Rochester, NY 14623-4273 | 2020-08-05 |
| 1043820251 | Michelle Katherine Hiczun | Nurse Practitioner | 20 Hagen Dr Ste 330, Rochester, NY 14625-2664 | 2020-08-03 |
| 1689296949 | Suzanne Lee Bundrick | Nurse Practitioner | 1921 Westwood Ct Sw, Rochester, MN 55902-1170 | 2020-05-09 |
| 1649818931 | Erin Elizabeth Akins | Nurse Practitioner | 1882 Winton Rd S Ste 3, Rochester, NY 14618-3950 | 2019-12-17 |
| 1912544107 | Bethany Anderson Ganz | Nurse Practitioner | 115 16th Ave Nw, Rochester, MN 55901-0347 | 2019-12-06 |
| 1164068383 | Christina Kosachook | Nurse Practitioner | 990 South Ave Ste 104, Rochester, NY 14620-2740 | 2019-11-22 |
| 1073159679 | Avellina Ihuaku Okafor | Nurse Practitioner | 1328 Ridgeway Ave, Rochester, NY 14615-3716 | 2019-11-19 |
| 1053961409 | Melissa Guu-shyuan Feng | Nurse Practitioner | 995 Senator Keating Blvd Ste 3100, Rochester, NY 14618-2778 | 2019-09-18 |
| 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.