JANE M PRENDERGAST (NPI# 1346322450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346322450 |
Entity Type | Individual |
Full Name | JANE M PRENDERGAST |
Credential | NP |
Practice Address |
218 Stone St Fl 2 Community Clinic of Jefferson County Watertown NY 13601-3211 |
Mailing Address |
338 Frenchs Bay Rd Tully NY 13159-9440 |
Practice Telephone | 3157827445 |
Practice Fax Number | 3157791184 |
Mailing Telephone | 3153176940 |
Enumeration Date | 2006-10-19 |
Last Update Date | 2011-07-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
303635 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F400868 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
218 STONE ST FL 2 COMMUNITY CLINIC OF JEFFERSON COUNTY |
City | WATERTOWN |
State | NY |
Zip Code | 13601-3211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700162732 | Rebecca M Sands | Social Worker | 218 Stone St Fl 2, Watertown, NY 13601-3211 | 2011-10-21 |
1972884591 | Rosamond I Mcavoy | Social Worker | 218 Stone St Fl 2, Community Clinic of Jefferson County, Watertown, NY 13601-3211 | 2011-09-09 |
1376824912 | Nicole L Pierce | Social Worker | 218 Stone St Fl 2, Community Clinic of Jefferson County, Watertown, NY 13601-3211 | 2011-09-08 |
1760770085 | Kathy A Willenborg | Registered Nurse | 218 Stone St Fl 2, Community Clinic of Jefferson County, Watertown, NY 13601-3211 | 2011-07-20 |
1285922591 | Sarah V Warner | Art Therapist | 218 Stone St Fl 2, Community Clinic of Jefferson County, Watertown, NY 13601-3211 | 2011-07-20 |
1710206008 | Elizabeth A Parris | Social Worker | 218 Stone St Fl 2, Watertown, NY 13601-3211 | 2010-05-26 |
1073632485 | Christina M Oneil | Social Worker | 218 Stone St Fl 2, Watertown, NY 13601-3211 | 2007-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
Find all providers in zip 13601 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659920890 | Zachary Ryan Lynch | Nurse Practitioner | 211 Jb Wise Place, Watertown, NY 13601-2507 | 2019-09-10 |
1891353587 | Erin Lee Phinney | Nurse Practitioner | 482 Black River Parkway, Watertown, NY 13601-2413 | 2019-05-29 |
1831441344 | Linda Macqueen | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2012-10-08 |
1285827915 | Jessica B Howell | Nurse Practitioner | 286 Arlington St, Watertown, MA 02472-3510 | 2007-08-27 |
1841304656 | Carol Coy | Nurse Practitioner | 144 Eastern Blvd, Watertown, NY 13601-3132 | 2006-08-18 |
1982225256 | Chika Francess Egorho | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2020-04-28 |
1588215156 | Rise Up Behavioral Health Services LLC | Nurse Practitioner | 76 Westbury Park Rd, Watertown, CT 06795-2779 | 2019-09-25 |
1417515552 | Kourtney K Darrow | Nurse Practitioner | 211 J.b. Wise Plaza, Watertown, NY 13601 | 2019-06-04 |
1528534138 | Martha Shirley Labarr | Nurse Practitioner | 830 Washington St, Watertown, NY 13601-4034 | 2018-10-22 |
1851743124 | Brandy Baillargeon | Nurse Practitioner | 167 Polk St, Suite 300, Watertown, NY 13601-2097 | 2016-07-11 |
Find all providers in WATERTOWN |
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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.