JOANN PAMELA GILLETTE


Address: 905 Hanshaw Rd, Suite C, Ithaca, NY 14850-1549
Phone: 6072772170

JOANN PAMELA GILLETTE (NPI# 1649800202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649800202
Entity Type Individual
Full Name JOANN PAMELA GILLETTE
Credential NP
Practice Address 905 Hanshaw Rd
Suite C
Ithaca
NY 14850-1549
Mailing Address 16 Melvin Ave
Cortland
NY 13045-1816
Practice Telephone 6072772170
Practice Fax Number 6072772329
Mailing Telephone 6073459996
Enumeration Date 2020-01-23
Last Update Date 2020-01-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
309518 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 905 HANSHAW RD
SUITE C
City ITHACA
State NY
Zip Code 14850-1549

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669760682 Susan Mckernan Mckelvey Nurse Practitioner 905 Hanshaw Rd, Ithaca, NY 14850-1549 2011-07-11
1689292666 Alayna Emily Barton Physician Assistant 905 Hanshaw Rd, Suite A, Ithaca, NY 14850 2020-07-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174123897 Michelle Lee Sanito Registered Nurse 400 Lake Street, Ithaca, NY 14850 2020-10-30
1457959843 Summit Alternatives Lmsw PC Community/Behavioral Health 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 2020-10-16
1518581701 Sameer Acharya Student in an Organized Health Care Education/Training Program Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 2020-06-03
1699399873 Anurag Aryal Student in an Organized Health Care Education/Training Program 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 2020-06-03
1932723228 Binay Kumar Kshetree Student in an Organized Health Care Education/Training Program Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 2020-06-02
1225657349 Nima Hazrati Pour Fard Student in an Organized Health Care Education/Training Program Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 2020-04-09
1326671090 Garret Hoskey Specialist/Technologist 953 Dany Road, Ithaca, NY 14850 2020-02-20
1609407709 En-ting Hsu Marriage & Family Therapist 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 2020-01-28
1306491063 Patrick Owen Mckeon Specialist/Technologist Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 2019-08-08
1538722343 Priyesh Thakurathi Student in an Organized Health Care Education/Training Program 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 2019-04-17
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1457961062 Rosaleen Christine Galvin Nurse Practitioner 415 East 80th St, Apt. 1n, New York, NY 10075 2020-08-07
1477171684 Rejane Duarte Nurse Practitioner 2600 Netherland Ave Ste 104, Bronx, NY 10463-4813 2020-07-14
1962029009 Sharon Wu Nurse Practitioner 2426 W 3rd St, Brooklyn, NY 11223-5930 2020-07-05
1598381535 Xue Qin Gao Nurse Practitioner 71-44 160th St. Unit 1, Flushing, NY 11365-3088 2020-06-24
1619590486 Jan Jeremiah Nurse Practitioner 3839 Flatlands Ave Ste 100, Brooklyn, NY 11234-3535 2020-05-27
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Competitor

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City ITHACA
Zip Code 14850

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Dataset Information

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.

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