JACQUELINE GRACE PAVELING (NPI# 1477746865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477746865 |
| Entity Type | Individual |
| Full Name | JACQUELINE GRACE PAVELING |
| Credential | NP |
| Practice Address |
University Medical Center Stony Brk Stony Brook Hospital, Dept Medicine, Hospital 15n-082 Stony Brook NY 11794-8160 |
| Practice Telephone | 6314443318 |
| Practice Fax Number | 6314441235 |
| Mailing Telephone | 6314443318 |
| Mailing Fax Number | 6314441235 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2014-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F300620 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
UNIVERSITY MEDICAL CENTER STONY BRK STONY BROOK HOSPITAL, DEPT MEDICINE, HOSPITAL 15N-082 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-8160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699934174 | Marybeth Heyden | Nurse Practitioner | University Medical Center Stony Brk, Dept. of Pediatrics, Hsc T11-040, Stony Brook, NY 11794-0001 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194287094 | Carleen Conde | Nurse Practitioner | 101 Nicolls Rd # T19080, Stony Brook, NY 11794-0001 | 2019-04-01 |
| 1942397211 | Kerry Walsh-gallagher | Nurse Practitioner | University Hospital L5, Stony Brook, NY 11794 | 2006-10-06 |
| 1659486710 | Laura Jean Hettrich | Nurse Practitioner | Stony Brook Hospital Hsc T19 020, Stony Brook, NY 11794-8191 | 2006-08-20 |
| 1235158577 | Roberto Rodriguez II | Nurse Practitioner | Stonybrook Hospital Hsc Level 18 Rm 0-40, Stony Brook, NY 11794-0001 | 2006-07-18 |
| 1851332456 | Antoinette Forster | Nurse Practitioner | Suny Putnam Hall Rm 103, Stony Brook, NY 11794-0001 | 2006-06-08 |
| 1124071824 | Norman Cruz | Nurse Practitioner | Stony Brook Umc, Hsc 18-040, Stony Brook, NY 11794-8191 | 2006-05-17 |
| 1982682266 | Jean O Lewis | Nurse Practitioner | Dept of Ophthalmology, Suny Stony Brook, Stony Brook, NY 11794-0001 | 2006-01-06 |
| 1508847302 | Margaret N Melendez | Nurse Practitioner | Stony Brook University Medical Ctr, Department of Medicine L16, Stony Brook, NY 11794-0001 | 2005-11-09 |
| 1093344038 | Rachel M Gartner | Nurse Practitioner | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-04-02 |
| 1831642172 | Nena Olugu | Nurse Practitioner | 101 Nicolls Rd, Hsc Level 12, Rm 080, Department of Neurosurgery, Stony Brook, NY 11794-2566 | 2016-08-03 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
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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.