CATHERINE DONOVAN TREDWELL


Address: 315 Science Parkway, Rochester, NY 14620
Phone: 5852766900

CATHERINE DONOVAN TREDWELL (NPI# 1811340110) 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) 1811340110
Entity Type Individual
Full Name CATHERINE DONOVAN TREDWELL
Credential NP
Practice Address 315 Science Parkway
Rochester
NY 14620
Mailing Address 300 Crittenden Blvd
Box Psych
Rochester
NY 14642-0001
Practice Telephone 5852766900
Practice Fax Number 5852761390
Mailing Telephone 5852766900
Mailing Fax Number 5852761390
Enumeration Date 2016-07-21
Last Update Date 2016-07-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 643302-1 NY Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
402010 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 315 SCIENCE PARKWAY
City ROCHESTER
State NY
Zip Code 14620

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1750818803 Meagan Michelle Goates Student in an Organized Health Care Education/Training Program 150 Crittenden Blvd, Rochester, NY 14620 2017-05-20
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1063066272 Keighley Loveland Nurse Practitioner 315 Science Pkwy Ste 500, Rochester, NY 14620-4257 2019-07-25
1396308375 Adonye T Afonya Nurse Practitioner 315 Elton Hills Dr Nw Ste 201, Rochester, MN 55901-2989 2019-04-16
1497280382 Roslynn Porter Nurse Practitioner 77 Colvin St, Rochester, NY 14611-2136 2017-04-27
1235589300 Andrew Cyrus Marcy Nurse Practitioner 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 2016-06-20
1588049258 Lisa Parnell Nurse Practitioner 200 East River Road, Rochester, NY 14623 2015-07-23
1942602198 Deirdre Mary Kelley Nurse Practitioner 1111 Elmwood Ave Bldg 16, Rochester, NY 14620-3005 2014-09-18
1083014070 M Elizabeth Rowe Nurse Practitioner 1645 Saint Paul St, Rochester, NY 14621-3162 2014-08-27
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Competitor

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City ROCHESTER
Zip Code 14620

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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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