MEAGAN LAURICELLA (NPI# 1184903056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184903056 |
| Entity Type | Individual |
| Full Name | MEAGAN LAURICELLA |
| Other Name | MEAGAN CLARK |
| Practice Address |
1000 South Ave Box 74 Rochester NY 14620-2733 |
| Mailing Address |
160 Wilsonia Rd Rochester NY 14609-6758 |
| Practice Telephone | 5853416887 |
| Mailing Telephone | 5184289276 |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2015-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F382202 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | F382202 | 01 |
| Street Address |
1000 SOUTH AVE BOX 74 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113618 | Tulsi Dass | Specialist | 1000 South Ave, # 95, Rochester, NY 14620-2733 | 2005-06-10 |
| 1285234088 | David Boguta | Physician Assistant | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-29 |
| 1285233643 | Autumn Hope Smith | Internal Medicine | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-18 |
| 1528665841 | Zachary Lamb | Nurse Practitioner | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-08 |
| 1245853134 | Travis John Lawrence | Nurse Practitioner | 1000 South Ave, Rochester, NY 14620-2733 | 2020-05-26 |
| 1962035790 | James Spencer Caal | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-20 |
| 1417580994 | Sarah Jean Jones | Occupational Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-12 |
| 1346872371 | Ellen Hufziger | Occupational Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-02-07 |
| 1568093169 | Tricia Blanchard | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2782 | 2020-02-01 |
| 1902437858 | Aubrie Anna Macikowski | Physical Therapist | 1000 South Ave, Rochester, NY 14620-2733 | 2020-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126266 | Victoria Mack | Nurse Practitioner | 33 Landing Rd S, Rochester, NY 14610-3161 | 2020-05-21 |
| 1730749847 | Nicholas John Wodo | Nurse Practitioner | 601 Elmwood Ave Box 690, Rochester, NY 14642-0001 | 2019-06-20 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1205076122 | Panorama Pediatric Group, Rllp | Nurse Practitioner | 220 Linden Oaks Ste 200, Rochester, NY 14625-2839 | 2009-03-05 |
| 1932267721 | Amy Beth Realbuto | Nurse Practitioner | 451 E Henrietta Rd, 2nd Floor, Rochester, NY 14620-4629 | 2006-12-05 |
| 1396803169 | Melissa M Ryan | Nurse Practitioner | 601 Elmwood Ave Box 671, Rochester, NY 14642-0001 | 2006-12-05 |
| 1649345984 | Barbra Murante | Nurse Practitioner | 601 Elmwood Ave Rm 4-8123, Rochester, NY 14642-0001 | 2006-11-22 |
| 1730253808 | Paula Barbel | Nurse Practitioner | 451 E Henrietta Rd Fl 2, Rochester, NY 14620-4629 | 2006-11-20 |
| 1942372842 | Nancy Chevalier | Nurse Practitioner | 111 Westfall Road, Room 183, Rochester, NY 14692 | 2006-11-15 |
| 1215012521 | Patricia Ann Mccabe | Nurse Practitioner | 1850 Buffalo Rd, Suite 200 Genesis Pediatrics, Rochester, NY 14624-1502 | 2006-10-26 |
| 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.