MRS. JENNIFER LYNN MULBURY (NPI# 1306851951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306851951 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LYNN MULBURY |
| Credential | MD |
| Practice Address |
1445 Portland Avenue Suite 309 Rochester NY 14621-3008 |
| Practice Telephone | 5853422638 |
| Practice Fax Number | 5857307500 |
| Mailing Telephone | 5853422638 |
| Mailing Fax Number | 5857307500 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
2481291 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03275147 | 05 |
| Street Address |
1445 PORTLAND AVENUE SUITE 309 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407818883 | Peter Helpbringer Van Brunt | Internal Medicine | 1445 Portland Avenue, Suite 302, Rochester, NY 14621 | 2006-04-03 |
| 1003162470 | Sara Nichole Brandel | Physician Assistant | 1445 Portland Avenue, Suite 309, Rochester, NY 14621-3008 | 2012-08-03 |
| 1316244239 | Rachel Gianni | Chiropractor | 1445 Portland Avenue, Suite 309, Rochester, NY 14621-3008 | 2011-02-14 |
| 1972521847 | Marc L Siditsky | Physician Assistant | 1445 Portland Avenue, Ste 309, Rochester, NY 14621-3008 | 2006-07-18 |
| 1144264862 | Theckedath Mathew | Internal Medicine | 1445 Portland Avenue, Suite 208, Rochester, NY 14621 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689093445 | Evelyn Olga Berman | Psychiatry & Neurology | 200 East River Rd, Rochester, NY 14623 | 2014-04-09 |
| 1811155625 | Yuliya Snyder | Psychiatry & Neurology | 1655 Elmwood Ave Ste 222, Rochester, NY 14620-3429 | 2008-05-29 |
| 1265448724 | Allison King | Psychiatry & Neurology | Child Neurology 601 Elmwood Ave, Box 631, Rochester, NY 14642-0001 | 2006-08-01 |
| 1346735750 | Hicham Dabaja | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-06-27 |
| 1083033328 | Aubrey N Duncan | Psychiatry & Neurology | 601 Elmwood Ave Box 777r, Rochester, NY 14642-0001 | 2014-04-15 |
| 1548536998 | Jennifer Vermilion | Psychiatry & Neurology | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2012-03-30 |
| 1285932517 | Marina Rubin Connolly | Psychiatry & Neurology | 601 Elmwood Ave, Box 278984, Rochester, NY 14642-0001 | 2011-03-10 |
| 1811211584 | Maria Joana Osorio | Psychiatry & Neurology | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2010-03-24 |
| 1346408556 | Erika F Augustine | Psychiatry & Neurology | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2008-05-26 |
| 1255455648 | Inna Hughes | Psychiatry & Neurology | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2007-03-19 |
| 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.