JILL REIDY (NPI# 1518245554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518245554 |
| Entity Type | Individual |
| Full Name | JILL REIDY |
| Credential | NP |
| Practice Address |
100 John Roemmelt Dr Suite 204 Horseheads NY 14845-8301 |
| Mailing Address |
571 Saint Josephs Blvd 2nd Floor Elmira NY 14901-3230 |
| Practice Telephone | 6077952828 |
| Practice Fax Number | 6077952829 |
| Mailing Telephone | 6072712050 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2016-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
336905 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03368265 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821025669 | Jill O Reidy | Family Medicine | 3350 Brown Rd, Caledonia, NY 14423-9534 | 2006-06-27 |
| Street Address |
100 JOHN ROEMMELT DR SUITE 204 |
| City | HORSEHEADS |
| State | NY |
| Zip Code | 14845-8301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401125 | Peter T Remec | Orthopaedic Surgery | 100 John Roemmelt Dr, Suite 102, Horseheads, NY 14845-8301 | 2005-07-20 |
| 1164979506 | Sarah Lynne Yorke | Physician Assistant | 100 John Roemmelt Dr, Suite 302, Horseheads, NY 14845-8301 | 2016-09-01 |
| 1902275977 | Sara Noorzad | Physician Assistant | 100 John Roemmelt Dr, Horseheads, NY 14845-8301 | 2015-09-21 |
| 1659752814 | Amy Hilliker | Nurse Practitioner | 100 John Roemmelt Dr, Horseheads, NY 14845-8301 | 2015-06-14 |
| 1780082313 | Merlyn Jacob Koshy | Physician Assistant | 100 John Roemmelt Dr, 3rd Floor, Horseheads, NY 14845-8301 | 2014-12-13 |
| 1801132246 | Cameron James Cowburn | Physician Assistant | 100 John Roemmelt Dr, 3rd Floor, Horseheads, NY 14845-8301 | 2012-12-12 |
| 1093065781 | Arnot Medical Services Pllc | Nutritionist | 100 John Roemmelt Dr, Horseheads, NY 14845-8301 | 2012-09-11 |
| 1801144613 | Alicia Mahaney | Speech-Language Pathologist | 100 John Roemmelt Dr, Horseheads, NY 14845-8301 | 2012-08-28 |
| 1487916979 | Rebecca Lynn Bjorck | Nurse Practitioner | 100 John Roemmelt Dr, 3rd Floor, Horseheads, NY 14845-8301 | 2012-06-12 |
| 1215212832 | Nicole M Didas | Physical Therapist | 100 John Roemmelt Dr, Suite 100, Horseheads, NY 14845-8301 | 2011-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144883919 | Sarika Pandharinath Ballari | Student in an Organized Health Care Education/Training Program | 342 Wexford Lane, Horseheads, NY 14845 | 2019-04-17 |
| 1679091227 | J Pain & Spine Care | Neurological Surgery | 217 Old Ithaca Rd, Horseheads, NY 14845 | 2017-09-05 |
| 1477077683 | David Allan Moore | Taxi | 3159 Lake Road, Horseheads, NY 14845 | 2017-07-29 |
| 1154877702 | Barnes Chiropractic, Pllc | Chiropractor | 301 W. Broad St., Horseheads, NY 14845 | 2016-09-01 |
| 1871048538 | Jeanette Marie Walrath | Nurse Practitioner | 3344 Chambers Road, Suite 200, Horseheads, NY 14845 | 2016-08-23 |
| 1861820565 | Susan Elaine Sager | Registered Nurse | 950 Sing Sing Road, Horseheads Middle School, Horseheads, NY 14845 | 2013-10-16 |
| 1083963599 | Rachael Kristen Burke | Licensed Practical Nurse | 722 Taylor Rd, Horseheads, NY 14845 | 2012-08-30 |
| 1386910990 | Angela Christina Bahlatzis | Physician Assistant | 309 Scenic View, Horseheads, NY 14845 | 2012-03-28 |
| 1316214398 | Carol Callahan | Licensed Practical Nurse | 401 Fletcher St., Horseheads, NY 14845 | 2011-11-19 |
| 1194020255 | Jean M Sheahan | Occupational Therapist | One Raider Lane, Horseheads, NY 14845 | 2011-01-21 |
| Find all providers in zip 14845 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093973802 | Rosalyn Anne Dubois | Nurse Practitioner | 44 Hickory Grove Rd, Horseheads, NY 14845-8593 | 2008-05-29 |
| 1659377885 | Trish M Bellinger | Nurse Practitioner | 100 Roemmelt Dr, Suite 202, Horseheads, NY 14845-8301 | 2005-06-22 |
| 1871104844 | Joel Christopher Owens | Nurse Practitioner | 3344 Chambers Rd, Horseheads, NY 14845-1403 | 2020-08-13 |
| 1609412774 | Jennilee Rose Brinks | Nurse Practitioner | 31 Arnot Rd, Horseheads, NY 14845-8533 | 2019-11-22 |
| 1518349547 | Leigh Anne Dries | Nurse Practitioner | 31 Arnot Rd, Horseheads, NY 14845 | 2015-06-25 |
| 1538388673 | Ann H. Newman | Nurse Practitioner | 48 Colonial Dr, Horseheads, NY 14845-8532 | 2007-04-25 |
| 1639101363 | Monta Wagner | Nurse Practitioner | 3344 Chambers Rd Ste 200, Horseheads, NY 14845-1403 | 2006-07-06 |
| 1700814696 | Janice Rhodes | Nurse Practitioner | 3344 Chambers Rd Ste 200, Horseheads, NY 14845-1403 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | HORSEHEADS |
| Zip Code | 14845 |
Please comment or provide details below to improve the information on JILL REIDY.
| 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.