MRS. JACQUELYN ANNE BOTTICELLI (NPI# 1356349740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356349740 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELYN ANNE BOTTICELLI |
| Credential | N.P. |
| Practice Address |
60 Innsbruck Dr Buffalo NY 14227-2735 |
| Mailing Address |
3332 Walden Ave. Suite 110 Depew NY 14043 |
| Practice Telephone | 7166687051 |
| Practice Fax Number | 7166697069 |
| Mailing Telephone | 7166687051 |
| Mailing Fax Number | 7166697069 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2009-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
30-304311 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03061112 | 05 | |
| NY | INDEPENDENT HEALTH | 9515444 | 01 |
| Street Address |
60 INNSBRUCK DR |
| City | BUFFALO |
| State | NY |
| Zip Code | 14227-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659819159 | Alanna Marie Guerrero | Registered Nurse | 341 Como Park Blvd, Cheektowaga, NY 14227 | 2017-02-03 |
| 1770846354 | Danielle Valint | Specialist | 2980 William Street, Cheektowaga, NY 14227 | 2012-06-19 |
| 1124304878 | Kathleen Napieralski | Registered Nurse | 305 Cayuga Creek Road, Cheektowaga, NY 14227 | 2011-10-26 |
| 1790081388 | Amy Sue Blochberger | Licensed Practical Nurse | 50 Yvette, Cheektowaga, NY 14227 | 2011-01-31 |
| 1992005177 | Michael Donlon | Speech-Language Pathologist | 7 Lille Lane, Buffalo, NY 14227 | 2010-10-22 |
| 1841516770 | Phoebe Jean Pierce | Specialist | 2875 Union Rd. Suite 350, Cheektowaga, NY 14227 | 2010-04-16 |
| 1437474418 | Pulse Health and Fitness | Preferred Provider Organization | 2875 Union Road, Suite 350, Cheektowaga, NY 14227 | 2010-04-01 |
| 1356595474 | Maria Elaine Gambino | Specialist | 928 French Rd., Cheektowaga, NY 14227 | 2008-11-17 |
| 1639332422 | Marlon Stephen Mathews | Family Medicine | 184 Losson Road, Cheektowaga, NY 14227 | 2008-07-02 |
| 1508028465 | Darryl Gies | Pharmacist | 2851 Broadway St, Attn: Central Fill Manager, Cheektowaga, NY 14227 | 2008-07-01 |
| Find all providers in zip 14227 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408372 | Syntyia La'tierra Taylor | Nurse Practitioner | 515 Abbott Rd Ste 408, Buffalo, NY 14220-1700 | 2018-12-16 |
| 1346743598 | Shelby Milan Belair | Nurse Practitioner | 3980 Sheridan Dr # D, Buffalo, NY 14226-1727 | 2018-03-14 |
| 1023529831 | Mary Catherine Brown | Nurse Practitioner | 144 Kensington Ave, Buffalo, NY 14214-2726 | 2017-10-19 |
| 1487105714 | Lisa Rudolph | Nurse Practitioner | 444 Norwood Ave, Apt 2, Buffalo, NY 14222-1560 | 2016-10-21 |
| 1295194652 | Viktoriya Mccarthy | Nurse Practitioner | 737 Main St Ste 300, Buffalo, NY 14203-1335 | 2016-02-15 |
| 1952553463 | Nerfis Elminowski | Nurse Practitioner | 2234 Seneca St, Buffalo, NY 14210-2438 | 2008-10-15 |
| 1275701187 | Suzanne Marie Barrett | Nurse Practitioner | Millard Fillmore Gates Facility 3 Gates Circle, Cmicu, Buffalo, NY 14209 | 2008-02-13 |
| 1346308475 | Cheryl Marie Zachewicz | Nurse Practitioner | 50 Lakefont Blvd, Buffalo, NY 14202-4327 | 2006-12-04 |
| 1508877267 | Nicole Lee Kroll | Nurse Practitioner | 1686 Hwy 79 West, Buffalo, TX 75831 | 2006-08-10 |
| 1346223583 | Marilyn Melnyk | Nurse Practitioner | 2001 Main St, Buffalo, NY 14208-1035 | 2005-11-22 |
| Find all providers in BUFFALO | ||||
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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.