KATELYNN J SMITH (NPI# 1215445713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215445713 |
| Entity Type | Individual |
| Full Name | KATELYNN J SMITH |
| Credential | FNP |
| Practice Address |
2655 Ridgeway Ave Ste 420 Rochester NY 14626 |
| Mailing Address |
2655 Ridgeway Ave Ste 420 Rochester NY 14626-4296 |
| Practice Telephone | 5857237972 |
| Practice Fax Number | 5853683119 |
| Mailing Telephone | 5857237972 |
| Mailing Fax Number | 5853683119 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
342389 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05071141 | 05 |
| Street Address |
2655 RIDGEWAY AVE STE 420 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639197940 | Tuan Thanh Tran | Anesthesiology | 2655 Ridgeway Ave Ste 420, Rochester, NY 14626 | 2006-07-17 |
| 1952780108 | Kevin Schmitt | Psychiatry & Neurology | 2655 Ridgeway Ave Ste 420, Rochester, NY 14626-4296 | 2015-05-20 |
| 1417377706 | Natasha Chand Mehta | Physical Medicine & Rehabilitation | 2655 Ridgeway Ave Ste 420, Rochester, NY 14626 | 2014-04-24 |
| 1831517416 | Carolyn Zyloney | Psychiatry & Neurology | 2655 Ridgeway Ave Ste 420, Rochester, NY 14626-4296 | 2014-04-01 |
| 1295086643 | Abir Naguib Abdallah | Physical Medicine & Rehabilitation | 2655 Ridgeway Ave Ste 420, Rochester, NY 14626-4296 | 2012-09-25 |
| 1932433067 | Matthew A Smith | Physician Assistant | 2655 Ridgeway Ave Ste 420, Rochester, NY 14626 | 2009-09-22 |
| 1033371455 | Matthew C Pauli | Physical Medicine & Rehabilitation | 2655 Ridgeway Ave Ste 420, Rochester, NY 14626-4296 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| 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.