MRS. GLORIA OZIOMA IBEZIM (NPI# 1649529900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649529900 |
| Entity Type | Individual |
| Full Name | MRS. GLORIA OZIOMA IBEZIM |
| Credential | FAMILY NURSE PRACT |
| Practice Address |
620 Westfall Rd Rochester NY 14620-4610 |
| Mailing Address |
3 Amberly Cir Rochester NY 14624-2602 |
| Practice Telephone | 5854618580 |
| Mailing Telephone | 5853549628 |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 574544 | NY | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | F08170262 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F08170262 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
FO8170262 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1649529900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3 Amberly Cir, Rochester, NY 146242602 | 5854261476 | |
| 620 Westfall Rd, Rochester, NY 146204610 | 5854618580 |
| Street Address |
620 WESTFALL RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124045554 | Jeanne L. Levey | Dietitian, Registered | 620 Westfall Rd, Monroe Developmental Center, Rochester, NY 14620-4610 | 2006-07-15 |
| 1992359616 | Kelly Marie Barbieri | Dietitian, Registered | 620 Westfall Rd, Rochester, NY 14620-4610 | 2019-07-31 |
| 1427601343 | Anna Rollins | Dietitian, Registered | 620 Westfall Rd, Rochester, NY 14620-4610 | 2019-07-19 |
| 1255996187 | Gail Arlyne Brownell | Psychologist | 620 Westfall Rd, Rochester, NY 14620-4610 | 2019-05-06 |
| 1780175216 | Matthew Michael Nowak | Occupational Therapist | 620 Westfall Rd, Rochester, NY 14620-4610 | 2018-05-21 |
| 1114431533 | Andrew Joseph Rudd | Occupational Therapist | 620 Westfall Rd, Rochester, NY 14620-4610 | 2017-11-21 |
| 1700397288 | Gregory T Horton | Audiologist | 620 Westfall Rd, Rochester, NY 14620-4610 | 2017-10-24 |
| 1073063962 | Kerry Dudek | Social Worker | 620 Westfall Rd, Rochester, NY 14620-4610 | 2016-10-04 |
| 1215395611 | Chelsea Musnoff | Physical Therapist | 620 Westfall Rd, Rochester, NY 14620-4610 | 2016-02-01 |
| 1316313349 | Charlene Dewind | Occupational Therapist | 620 Westfall Rd, Rochester, NY 14620 | 2015-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1073111738 | Melissa E Spencer | Nurse Practitioner | 1338 E Ridge Rd Ste 101, Rochester, NY 14621-2017 | 2020-10-15 |
| 1295345254 | Kristin Colleen Fleming | Nurse Practitioner | 400 Red Creek Dr Ste 110, Rochester, NY 14623-4273 | 2020-08-05 |
| 1043820251 | Michelle Katherine Hiczun | Nurse Practitioner | 20 Hagen Dr Ste 330, Rochester, NY 14625-2664 | 2020-08-03 |
| 1689296949 | Suzanne Lee Bundrick | Nurse Practitioner | 1921 Westwood Ct Sw, Rochester, MN 55902-1170 | 2020-05-09 |
| 1649818931 | Erin Elizabeth Akins | Nurse Practitioner | 1882 Winton Rd S Ste 3, Rochester, NY 14618-3950 | 2019-12-17 |
| 1912544107 | Bethany Anderson Ganz | Nurse Practitioner | 115 16th Ave Nw, Rochester, MN 55901-0347 | 2019-12-06 |
| 1164068383 | Christina Kosachook | Nurse Practitioner | 990 South Ave Ste 104, Rochester, NY 14620-2740 | 2019-11-22 |
| 1073159679 | Avellina Ihuaku Okafor | Nurse Practitioner | 1328 Ridgeway Ave, Rochester, NY 14615-3716 | 2019-11-19 |
| 1053961409 | Melissa Guu-shyuan Feng | Nurse Practitioner | 995 Senator Keating Blvd Ste 3100, Rochester, NY 14618-2778 | 2019-09-18 |
| 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.