MRS. GRACIA LYNNETTE ROULAN (NPI# 1285989681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285989681 |
| Entity Type | Individual |
| Full Name | MRS. GRACIA LYNNETTE ROULAN |
| Credential | MSN, FNP |
| Practice Address |
301 Prospect Ave Syracuse NY 13203-1807 |
| Mailing Address |
2509 James St Po Box 595 Syracuse NY 13206-6000 |
| Practice Telephone | 3154485101 |
| Mailing Telephone | 3154273878 |
| Mailing Fax Number | 3152822882 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
337452 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
301 PROSPECT AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143155 | Joel M Rosenberg | Surgery | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2005-06-09 |
| 1295332641 | Lindsey Bippus | Nurse Anesthetist, Certified Registered | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-10-07 |
| 1811503709 | Arianna Marie Sposato | Registered Nurse | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-09-16 |
| 1861018780 | Kristen Ranallo | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-17 |
| 1871117184 | Joseph Meluni | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1962026286 | George Jiao | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1427672807 | Lauren Macshane | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1225652605 | Robert Magee | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1992329361 | Neil Javed | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1134743594 | Lyndsay Christensen | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1679191019 | Katherine Rose Halleck | Nurse Practitioner | 141 Atkinson Ave, Syracuse, NY 13207-1125 | 2020-07-13 |
| 1649817693 | Ladislava Kulikova | Nurse Practitioner | 55 Westbrook Hills Dr, Syracuse, NY 13215-1809 | 2019-12-09 |
| 1841845799 | Robin M Stark | Nurse Practitioner | 1000 E Genesee St Ste 402, Syracuse, NY 13210-1853 | 2019-08-07 |
| 1699335729 | Kathleen M Tindall | Nurse Practitioner | 739 Irving Ave Ste 450, Syracuse, NY 13210-1663 | 2019-06-20 |
| 1760964142 | Stacey Margaret Schneble | Nurse Practitioner | 114 Skyview Ter, Syracuse, NY 13219-2850 | 2018-09-03 |
| 1447753355 | Lilia P Buchmuller | Nurse Practitioner | 1361 S 2675 W, Syracuse, UT 84075-8306 | 2018-03-16 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1225550783 | Kerry Laine Goessling | Nurse Practitioner | 6712 Brooklawn Pkwy Ste 204, Syracuse, NY 13211-2158 | 2017-07-16 |
| Find all providers in SYRACUSE | ||||
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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.