KELSEY R LEDER (NPI# 1285149005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285149005 |
| Entity Type | Individual |
| Full Name | KELSEY R LEDER |
| Credential | PA-C |
| Practice Address |
2 Palisades Dr Albany NY 12205 |
| Mailing Address |
315 S Manning Blvd Albany NY 12208-1789 |
| Practice Telephone | 5184582000 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 23.004041 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 023780 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 156 Quaker Rd, Queensbury, NY 128041718 | 5184582000 | |
| 2 New Hampshire Ave Ste 200, Troy, NY 121801762 | 5184582000 | |
| 315 S Manning Blvd, Albany, NY 12208 | 5185251550 | |
| 855 Route 146, Clifton Park, NY 120653885 | 5184582000 |
| Street Address |
2 PALISADES DR |
| City | ALBANY |
| State | NY |
| Zip Code | 12205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831197268 | Jonathan Michael Desantis | Internal Medicine | 2 Palisades Dr, Albany, NY 12205-1438 | 2005-07-10 |
| 1093341141 | Kasthuri Sivakumar | Registered Nurse | 2 Palisades Dr, Albany, NY 12205-1438 | 2020-03-20 |
| 1386277051 | Alayna Joan Kalogridis | Registered Nurse | 2 Palisades Dr, Albany, NY 12205-1438 | 2020-02-20 |
| 1659904084 | Stephanie Jean Mead | Registered Nurse | 2 Palisades Dr, Albany, NY 12205-1438 | 2020-02-13 |
| 1295396893 | Erika Marie Smith | Nurse Practitioner | 2 Palisades Dr, Albany, NY 12205-1438 | 2019-06-25 |
| 1871070466 | Megan Mendelson | Nurse Practitioner | 2 Palisades Dr, Albany, NY 12205-1438 | 2018-07-26 |
| 1912483603 | Heather Macphail | Nurse Practitioner | 2 Palisades Dr, Albany, NY 12205-1438 | 2018-07-16 |
| 1770086191 | Mini Santhosh Tharian | Nurse Practitioner | 2 Palisades Dr, Albany, NY 12205 | 2018-03-12 |
| 1396197463 | Jillian Anne Coffey | Physician Assistant | 2 Palisades Dr, Albany, NY 12205-1438 | 2016-07-12 |
| 1265884720 | Amanda Lynn Francese | Nurse Practitioner | 2 Palisades Dr, Albany, NY 12205-1438 | 2016-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1407409113 | Morgan Shumway | Physician Assistant | 50 New Scotland Ave # Mc191, Albany, NY 12208-3403 | 2019-07-22 |
| 1588136279 | Christine Ciavarella | Physician Assistant | 405 Kains Ave Ste 205, Albany, CA 94706-1270 | 2018-12-19 |
| 1225503535 | Maura Kathleen Corbett | Physician Assistant | 43 New Scotland Ave Mc-139, Department of Emergency Medicine, Albany, NY 12208-3478 | 2018-10-12 |
| 1669966743 | Kimberly Aebli | Physician Assistant | 47 New Scotland Ave Mc 101, Albany, NY 12208 | 2018-06-21 |
| 1255844643 | Erica Francesca Lari Parks | Physician Assistant | 530 Kinkead Way Apt 205, Albany, CA 94706-2656 | 2017-11-08 |
| 1306376934 | Elisabeth Catherine Henderson | Physician Assistant | 98 Wolf Rd Ste 16, Albany, NY 12205-1226 | 2017-06-15 |
| 1417306374 | Larry James Edwards | Physician Assistant | 2030 Newton Rd, Albany, GA 31701-3520 | 2016-06-10 |
| 1477923019 | Cheyenne Allen Boone | Physician Assistant | 47 New Scotland Ave Mc-139, Albany Medical Center Dept Emergency Medicine, Albany, NY 12208-3412 | 2015-09-25 |
| 1396148300 | Tina Huang | Physician Assistant | 15 Norman Ave, Albany, NY 12203-5005 | 2014-10-03 |
| Find all providers in ALBANY | ||||
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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.