LUCILLE D'AGOSTINO (NPI# 1477170702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477170702 |
| Entity Type | Individual |
| Full Name | LUCILLE D'AGOSTINO |
| Practice Address |
6805 State Highway 11 Potsdam NY 13676 |
| Practice Telephone | 3152653105 |
| Practice Fax Number | 3152650323 |
| Mailing Telephone | 3152653105 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
346045 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6805 STATE HIGHWAY 11 |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| 1083878029 | Melinda Lucie Weatherwax | Licensed Practical Nurse | 1051 County Route 56, Potsdam, NY 13676 | 2008-07-17 |
| Find all providers in zip 13676 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699985952 | Sheryl Lynn Cruger | Nurse Practitioner | 37 Pierrepont Ave, Potsdam, NY 13676-2107 | 2007-05-23 |
| 1336759091 | Aimee Jean Raymonda | Nurse Practitioner | 9 Broad St, Potsdam, NY 13676-1735 | 2020-08-06 |
| 1518527118 | Meade Lent | Nurse Practitioner | 50 Leroy St, Potsdam, NY 13676-1799 | 2019-06-17 |
| 1164984753 | Joseph John Adams Iv | Nurse Practitioner | 50 Leroy St, Potsdam, NY 13676-1799 | 2019-04-02 |
| 1730691361 | Kristin Marie Weston | Nurse Practitioner | 7957 Us Highway 11, Potsdam, NY 13676-3239 | 2017-11-05 |
| 1225579626 | Sonja J Kocan | Nurse Practitioner | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2017-03-17 |
| 1730629080 | Lisa Therese Mcdonald | Nurse Practitioner | 50 Leroy St, Potsdam, NY 13676-1786 | 2017-03-06 |
| 1619342243 | Amanda Ross | Nurse Practitioner | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2015-12-08 |
| 1811254667 | Jodi Lynn Falardeau | Nurse Practitioner | 50 Leroy St, Potsdam, NY 13676-1786 | 2012-04-18 |
| 1952573057 | Susan Joyce Knowles | Nurse Practitioner | 50 Leroy St, Canton Potsdam Hospital, Potsdam, NY 13676-1786 | 2008-03-28 |
| Find all providers in POTSDAM | ||||
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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.