KIMBERLY ANN CERASANI


Address: 90 Presidential Plz, Syracuse, NY 13202-2240
Phone: 3154643835

KIMBERLY ANN CERASANI (NPI# 1689299505) 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) 1689299505
Entity Type Individual
Full Name KIMBERLY ANN CERASANI
Credential NP
Practice Address 90 Presidential Plz
Syracuse
NY 13202-2240
Mailing Address 3999 Split Rock Rd
Camillus
NY 13031-8703
Practice Telephone 3154643835
Mailing Telephone 6073168477
Enumeration Date 2020-06-16
Last Update Date 2020-06-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner F345951-01 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 90 PRESIDENTIAL PLZ
City SYRACUSE
State NY
Zip Code 13202-2240

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992702278 Michael P Sharak Physician Assistant 90 Presidential Plz, Firm B, Syracuse, NY 13202-2240 2005-07-01
1558978940 Krista Marie Shanholtz Family Medicine 90 Presidential Plz, Syracuse, NY 13202-2240 2020-09-29
1235609512 Sara Marie Obrist Social Worker 90 Presidential Plz, Syracuse, NY 13202-2240 2018-11-29
1063949816 Catherine Bird Fessenden Student in an Organized Health Care Education/Training Program 90 Presidential Plz, Suite 300, Syracuse, NY 13202-2240 2017-05-11
1013469873 Davia Gaelin Moss Registered Nurse 90 Presidential Plz, Syracuse, NY 13202-2240 2016-10-27
1285183335 Stacy Jo Mcclintic Dietitian, Registered 90 Presidential Plz, Syracuse, NY 13202-2240 2016-09-30
1235590738 Lara Kratochwill Pharmacist 90 Presidential Plz, Adult Medicine Clinic, Syracuse, NY 13202-2240 2016-03-10
1699144527 Viktoria Kenney Nurse Practitioner 90 Presidential Plz, Syracuse, NY 13202-2240 2015-09-22
1053789610 Suny Upstate Clinic/Center 90 Presidential Plz, Syracuse, NY 13202-2240 2015-09-11
1053727503 Hassan Mahdi Al-khalisy Student in an Organized Health Care Education/Training Program 90 Presidential Plz, Syracuse, NY 13202-2240 2014-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255804456 Lisa Blachford Registered Nurse 421 Montgomery St Room 80, Syracuse, NY 13202 2019-01-10
1851873640 Syracuse Community Health Center, Inc. Case Management 819 South Salina Street, Syracuse, NY 13202 2018-08-29
1245739713 Telibra Lloyd Counselor 375 W Onondaga St Suite 10, Syracuse, NY 13202 2018-02-09
1326574534 Wendell Covell Social Worker 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 2017-05-08
1083165005 Candy Herbert Counselor 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 2016-10-14
1427429760 Joshua Caryl Counselor 319 East Water Street, Syracuse, NY 13202 2015-10-13
1093140956 Jennifer B Mccaffrey Nurse Practitioner 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 2013-09-11
1336581552 Emily Renee Haggerty Hospitalist 500 Harrison St, 1705a, Syracuse, NY 13202 2013-07-30
1134470933 Tanya Marie Harlec Mcguire Genetic Counselor, MS 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 2012-09-20
1104176320 Mary Jo Maestri Genetic Counselor, MS 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 2012-09-14
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639730690 Michelle L Lane Nurse Practitioner 301 Prospect Ave Fl 6, Syracuse, NY 13203-1807 2019-06-21
1942754015 Shelly Lynn Peters Nurse Practitioner 329 N. Salina Street, Helio Health, Syracuse, NY 13203 2016-08-06
1205241411 Erin M. Kreifels Nurse Practitioner 277 E 17th St, Syracuse, NE 68446-5000 2014-06-25
1174675995 Michelle Anne Dart Nurse Practitioner 3229 E. Genesee St., Syracuse, NY 13214 2007-01-18
1750470738 Anna Marie Santoro Nurse Practitioner 800 Irving Ave Rm A202, Syracuse, NY 13210-2716 2006-10-11
1578582128 Sean M Murphy Nurse Practitioner 144 Century Dr, Syracuse, NY 13209-2204 2006-07-18
1356304638 Dana L Karash Nurse Practitioner 1120 E Genesee St, Syracuse, NY 13210-1912 2006-04-08
1679547392 Jeanne E Pietrzak Nurse Practitioner 739 Irving Ave Ste 500, Syracuse, NY 13210-1664 2006-02-17
1073129029 Kaitlyn Hazelmyer Nurse Practitioner 736 Irving Ave, Syracuse, NY 13210-1687 2020-09-16
1427601681 Elmer Paul Miller Nurse Practitioner 736 Irving Ave, Syracuse, NY 13210-1690 2019-07-17
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Competitor

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City SYRACUSE
Zip Code 13202

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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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