MS. JUSTINE THERESA SHULTS (NPI# 1629432810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629432810 |
| Entity Type | Individual |
| Full Name | MS. JUSTINE THERESA SHULTS |
| Credential | NP |
| Practice Address |
2365 Clinton Ave S Ste 200 Rochester NY 14618-2663 |
| Mailing Address |
2365 Clinton Ave S Rochester NY 14618-2663 |
| Practice Telephone | 5857585700 |
| Practice Fax Number | 5857581299 |
| Mailing Telephone | 5857585700 |
| Mailing Fax Number | 5857581299 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 593687-1 | NY | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
307742 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
307742 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2365 CLINTON AVE S STE 200 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14618-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497182 | Krista L. Prinzi | Nurse Practitioner | 2365 Clinton Ave S, Rochester, NY 14618-2663 | 2005-06-14 |
| 1619421039 | Michelle Gerringer | Audiologist | 2365 Clinton Ave S, #200, Rochester, NY 14618-2663 | 2016-08-15 |
| 1023487261 | Jennifer Thomson | Audiologist | 2365 Clinton Ave S, Rochester, NY 14618-2663 | 2015-09-17 |
| 1174991590 | Jacqueline Doucette | Nurse Practitioner | 2365 Clinton Ave S, Rochester, NY 14618-2663 | 2015-09-02 |
| 1023492998 | Lauren Ashley Cramer | Physician Assistant | 2365 Clinton Ave S, Suite 200, Rochester, NY 14618-2663 | 2015-07-10 |
| 1972991206 | Rochester General Hospital | Internal Medicine | 2365 Clinton Ave S, Ucva, Rochester, NY 14618-2663 | 2015-01-09 |
| 1114322377 | Western New York Medical Practice, P.C. | Internal Medicine | 2365 Clinton Ave S, Rochester, NY 14618-2663 | 2014-10-30 |
| 1700293495 | Strong Memorial Hospital Audiology Department | Clinic/Center | 2365 Clinton Ave S, Suite 200, Rochester, NY 14618-2663 | 2014-07-15 |
| 1114283900 | Raina Lynn Stromberg | Audiologist | 2365 Clinton Ave S, Rochester, NY 14618-2663 | 2012-04-05 |
| 1407172174 | John Joseph Faria | Otolaryngology | 2365 Clinton Ave S, Suite 200, Rochester, NY 14618-2663 | 2010-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| Find all providers in zip 14618 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829047 | Ruhi Bedi Sondhi | Nurse Practitioner | 601 Elmwood Ave Fl Center4, Rochester, NY 14642-0001 | 2020-07-26 |
| 1346865920 | Christopher M Mccarty | Nurse Practitioner | 2400 S Clinton Ave Bldg D, Rochester, NY 14618-2668 | 2020-06-10 |
| 1811510555 | Stacey Sang | Nurse Practitioner | 400 Red Creek Dr Ste 220, Rochester, NY 14623-4281 | 2020-05-27 |
| 1093365280 | Brittany Lewis | Nurse Practitioner | 180 Sawgrass Dr Ste 220, Rochester, NY 14620-4651 | 2019-09-19 |
| 1245891431 | Julie Loce | Nurse Practitioner | 222 Alexander St Ste 2400, Rochester, NY 14607-4010 | 2019-06-27 |
| 1467013433 | Henry Robert Newcomb | Nurse Practitioner | 300 Crittendon Blvd, Rochester, NY 14642-0001 | 2019-06-21 |
| 1689159162 | Mariya A Canham | Nurse Practitioner | 2400 S Clinton Ave, Building H, Suite 150, Rochester, NY 14618-2668 | 2018-10-01 |
| 1013447747 | Lauren Beth Bartus | Nurse Practitioner | 601 Elmwood Ave # 619, Rochester, NY 14642-0001 | 2017-06-15 |
| 1730634502 | Susan Lee Riggan | Nurse Practitioner | 408 Meadow Brook Rd, Rochester, MI 48309-4452 | 2016-08-22 |
| 1093197857 | Katelynn Ann Coffey | Nurse Practitioner | 2350 Ridgeway Ave Ste B, Rochester, NY 14626-4127 | 2015-06-29 |
| Find all providers in ROCHESTER | ||||
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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.