MRS. KIMBERLY M ROSDAHL (NPI# 1861755993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861755993 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY M ROSDAHL |
| Other Name | KIMBERLY M SCHMITT |
| Credential | MSED |
| Practice Address |
149 N Main St Fairport NY 14450-1434 |
| Practice Telephone | 5853772230 |
| Mailing Telephone | 5853772230 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1503837 | NY | Other Service Providers |
| Street Address |
149 N MAIN ST |
| City | FAIRPORT |
| State | NY |
| Zip Code | 14450-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111068 | Anissa Kurian | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2020-10-13 |
| 1386250587 | Megan Corey | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2020-09-22 |
| 1164038881 | Anna Elizabeth Domiano | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2020-09-17 |
| 1376159087 | Emily Ann Stamer | Student in an Organized Health Care Education/Training Program | 149 N Main St, Fairport, NY 14450-1434 | 2020-09-17 |
| 1366076499 | Mikala Miller | Speech-Language Pathologist | 149 N Main St, Fairport, NY 14450-1434 | 2020-02-27 |
| 1902430317 | Anjoli Marie Moise | Specialist | 149 N Main St, Fairport, NY 14450-1434 | 2020-02-24 |
| 1215588322 | Mary M Reyngoudt | Specialist | 149 N Main St, Fairport, NY 14450-1434 | 2019-09-20 |
| 1043869134 | Melody Moore | Physical Therapy Assistant | 149 N Main St, Fairport, NY 14450-1434 | 2019-09-10 |
| 1467009241 | Rebecca Chodak | Specialist | 149 N Main St, Fairport, NY 14450-1434 | 2019-08-26 |
| 1235786229 | Sarah J Gordner | Specialist | 149 N Main St, Fairport, NY 14450-1434 | 2019-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1477011773 | Meredith Noel Austin-appleton | Pediatrics | Pediatric Urgent Care of Rochester, 6687 Pittsford Palmyra Rd, Fairport, NY 14450 | 2019-03-05 |
| 1659852358 | Linda Demme | Registered Nurse | 29 Pleasant St, Fairport, NY 14450 | 2018-08-22 |
| 1679075154 | Tharaha Thavakumar | Behavior Technician | 6 N. Main Street, Fairport, NY 14450 | 2018-03-01 |
| 1295244309 | Comprehensive Medicine, Pllc | Psychiatry & Neurology | 762 Crosskeys Office Park, Fairport, NY 14450 | 2017-09-21 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1477947786 | Preston Orthodontics, Pllc | Dentist | 2154 Fairport Nine Mile Point Road, Fairport, NY 14450 | 2015-03-25 |
| 1154724334 | Amanda Corrisa Kalsih | Registered Nurse | 95 Evergreen Circle, Fairport, NY 14450 | 2014-10-02 |
| 1295172153 | Pamela Lea Alexander | Skilled Nursing Facility | 41 O,connor Road, Monroe #1 Boces, Fairport, NY 14450 | 2013-05-31 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
| Find all providers in zip 14450 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184966020 | Laurian Van Munster | Specialist | 23 Parker St, Fairport, NY 14450-1507 | 2013-03-18 |
| 1225379639 | Tracy S O'shea | Specialist | 176 Hulburt Rd, Fairport, NY 14450-2473 | 2013-03-09 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
| 1700140571 | Marybeth Lynn Fussa | Specialist | 97 Country Downs Cir, Fairport, NY 14450-8808 | 2012-06-26 |
| 1174887186 | Jacqueline Petronio | Specialist | 55 Fallingbrook Rd, Fairport, NY 14450 | 2012-06-25 |
| 1407123524 | Susan Clymo | Specialist | 55 Ayrault Rd, Fairport, NY 14450-2865 | 2011-11-17 |
| 1568431690 | Stephen James Stanton-reid | Specialist | 100 Cross Keys Office Park, Fairport, NY 14450-3509 | 2006-03-14 |
| 1902430317 | Anjoli Marie Moise | Specialist | 149 N Main St, Fairport, NY 14450-1434 | 2020-02-24 |
| 1215588322 | Mary M Reyngoudt | Specialist | 149 N Main St, Fairport, NY 14450-1434 | 2019-09-20 |
| 1407405046 | Linda C. Kelley | Specialist | 28 Crosswinds Cir, Fairport, NY 14450-9421 | 2019-09-06 |
| Find all providers in FAIRPORT | ||||
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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.