MS. JOAN M. STACK (NPI# 1881765675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881765675 |
| Entity Type | Individual |
| Full Name | MS. JOAN M. STACK |
| Credential | NP |
| Practice Address |
1801 E Main St Rochester NY 14609-7402 |
| Mailing Address |
51 Rock Beach Rd Rochester NY 14617-1945 |
| Practice Telephone | 5852881390 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LS0200X |
Nurse Practitioner Specialization: School |
380332 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306927512 | Joan Stack | Social Worker | 10116 Rosecrans Ave, Bellflower, CA 90706-2564 | 2006-10-17 |
| Street Address |
1801 E MAIN ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14609-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134403470 | Teisha Lynne Maldonado | Social Worker | 1801 E Main St, Rochester, NY 14609-7402 | 2011-10-05 |
| 1013053214 | Rosie Williams | Nurse Practitioner | 1801 E Main St, Rochester, NY 14609-7402 | 2007-01-29 |
| 1356412100 | Mary Ellen Dennis | Nurse Practitioner | 1801 E Main St, Rochester, NY 14609-7402 | 2006-11-13 |
| 1780755504 | Amy Elizabeth Merideth | Nurse Practitioner | 1801 E Main St, Rochester, NY 14609-7402 | 2006-11-13 |
| 1295806073 | Kim Urbach | Nurse Practitioner | 1801 E Main St, Rochester, NY 14609-7402 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928828 | Aundrea Camille Williams | Licensed Practical Nurse | 99 Meaodw Circle, Rochester, NY 14609 | 2020-10-06 |
| 1043836869 | Sharon Ann Reilly | Registered Nurse | 910 North Goodman Street, Suite 1, Rochester, NY 14609 | 2020-06-17 |
| 1235655671 | Tameka Shaunte Parker | Licensed Practical Nurse | 35 Village Way, Rochester, NY 14609 | 2017-08-17 |
| 1851817472 | Mary Ann Dukes | Registered Nurse | 75 Yates Street, Rochester, NY 14609 | 2017-08-15 |
| 1023533064 | Fernando Caumont | Urology | 2615 Culver Rd Ste 100, Rochester, NY 14609 | 2017-08-10 |
| 1083061162 | Teyanee Latavia Harewood | Registered Nurse | 418 Hayward Ave, Rochester, NY 14609 | 2016-05-19 |
| 1164853891 | Sukhminder Kaur Sahansra | Internal Medicine | 335 North Park Drive, Elderone, Rochester, NY 14609 | 2013-12-05 |
| 1952749863 | Nada Jadrovska | Registered Nurse | 79 Eagle Rock Dr, Rochester, NY 14609 | 2013-06-13 |
| 1457602930 | Lynnetta Maria Hollomon | Licensed Practical Nurse | 827 Edgecreek Trail, Rochester, NY 14609 | 2012-09-25 |
| 1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
| Find all providers in zip 14609 | ||||
| Taxonomy Code | 363LS0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689048449 | Erin Ballenger | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-11-17 |
| 1356412100 | Mary Ellen Dennis | Nurse Practitioner | 1801 E Main St, Rochester, NY 14609-7402 | 2006-11-13 |
| 1780755504 | Amy Elizabeth Merideth | Nurse Practitioner | 1801 E Main St, Rochester, NY 14609-7402 | 2006-11-13 |
| 1295806073 | Kim Urbach | Nurse Practitioner | 1801 E Main St, Rochester, NY 14609-7402 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376775478 | Mary M Capparelli | Nurse Practitioner | 837 Houston Rd, Webster, NY 14580-4042 | 2009-08-23 |
| 1619092350 | Sarah Katharine Goldberg | Nurse Practitioner | 650 Academy St, New York, NY 10034-5004 | 2007-03-20 |
| 1154406916 | Joanne Pierre | Nurse Practitioner | 3334 80th St, Jackson Heights, NY 11372-1341 | 2006-10-27 |
| 1598861825 | Nica Chery-mompremier | Nurse Practitioner | 87-41 Parsons Blvd Room 102, School Board Health Clinic P.s86, Jamaica, NY 11432 | 2006-09-15 |
| 1881843233 | Susan B Butler | Nurse Practitioner | 150 Southside Pkwy, Buffalo, NY 14220-1552 | 2008-09-10 |
| 1316066020 | Jill Gallin | Nurse Practitioner | 80 Beekman Ave, Sleepy Hollow, NY 10591-2503 | 2007-03-27 |
Please comment or provide details below to improve the information on MS. JOAN M. STACK.
| 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.