MS. JEANNETTE JUDITH SAMPSON (NPI# 1275091266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275091266 |
| Entity Type | Individual |
| Full Name | MS. JEANNETTE JUDITH SAMPSON |
| Credential | FNP-C |
| Practice Address |
556 Clinton Ave S Rochester NY 14620-1105 |
| Mailing Address |
79 Glenridge Rd Glenville NY 12302-4523 |
| Practice Telephone | 5854428422 |
| Practice Fax Number | 5854428494 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 707970 | NY | Nursing Service Providers |
| N | 163WC3500X |
Registered Nurse Specialization: Cardiac Rehabilitation |
707970 | NY | Nursing Service Providers |
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
707970 | NY | Nursing Service Providers |
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
707970 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F346257 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01420800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 199 Clover St, Rochester, NY 146102257 | 9523932114 | |
| 556 Clinton Ave S, Rochester, NY 146201105 | 5854428422 | 5854428494 |
| Street Address |
556 CLINTON AVE S |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235185612 | Conifer Park, Inc. | Clinic/Center | 556 Clinton Ave S, Rochester, NY 14620-1105 | 2006-05-26 |
| 1861010662 | Leah Newman | Counselor | 556 Clinton Ave S, Rochester, NY 14620-1105 | 2020-07-08 |
| 1356974497 | Lisa Giglia | Counselor | 556 Clinton Ave S, Rochester, NY 14620-1105 | 2020-02-18 |
| 1538704788 | Timothy Stevens | Counselor | 556 Clinton Ave S, Rochester, NY 14620-1105 | 2019-11-12 |
| 1740831254 | Eric Haines | Counselor | 556 Clinton Ave S, Rochester, NY 14620-1105 | 2019-09-25 |
| 1427529585 | Jeremy Patrick Thayer | Counselor | 556 Clinton Ave S, Rochester, NY 14620-1105 | 2018-12-16 |
| 1780155457 | Nicole Renee Miller | Counselor | 556 Clinton Ave S, Rochester, NY 14620-1105 | 2018-12-06 |
| 1790278117 | Margo Anne Tremaine | Counselor | 556 Clinton Ave S, Rochester, NY 14620-1105 | 2018-06-11 |
| 1982195186 | Estelle Webster | Registered Nurse | 556 Clinton Ave S, Rochester, NY 14620-1105 | 2018-05-23 |
| 1396249405 | Courtney Wachter | Counselor | 556 Clinton Ave S, Rochester, NY 14620-1105 | 2018-03-22 |
| 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 | 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.