MS. PAMELA RYDER (NPI# 1891857199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891857199 |
| Entity Type | Individual |
| Full Name | MS. PAMELA RYDER |
| Credential | NP |
| Practice Address |
765 Streeter Hill Rd Jefferson NY 12093 |
| Mailing Address |
Po Box 460 Midland Park NJ 07432-0460 |
| Practice Telephone | 6464983049 |
| Mailing Telephone | 6464983049 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
330006 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
765 STREETER HILL RD |
| City | JEFFERSON |
| State | NY |
| Zip Code | 12093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437290657 | Jefferson Central School | Local Education Agency (LEA) | 1332 State Route 10, Jefferson, NY 12093-3030 | 2007-02-09 |
| 1457629917 | Joy F Musella | Registered Nurse | 1332 State Route 10, Jefferson, NY 12093-3030 | 2011-12-12 |
| 1598906463 | Ann Tepfer | Licensed Practical Nurse | 328 Jones Hill Rd, Jefferson, NY 12093-5228 | 2009-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922904 | Hayley Allen | Pharmacist | 2667 Maple Rd, Jefferson, OH 44047-9751 | 2020-11-06 |
| 1619574753 | Jean Carolyn Sheffield | Home Health Aide | 2770 Sylvia Ave, Jefferson, OH 44047-9774 | 2020-10-01 |
| 1346857463 | Jefferson Counseling, LLC | Counselor | 20 Lee St Ste 5, Jefferson, GA 30549-6327 | 2020-09-24 |
| 1982214763 | Kempo Corporation | Clinical Medical Laboratory | 6096 Highway 151, Jefferson, SC 29718-5813 | 2020-08-05 |
| 1245858323 | Jamie Anne Taylor | Massage Therapist | 3511 River Rd Ste B, Jefferson, LA 70121-4162 | 2020-07-06 |
| 1861019739 | Thomas R. Dupree Jr. | Nurse Practitioner | 321 Brooks, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1750908620 | Tammy K Dupree | Nurse Practitioner | 321 Brooks # 321, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1831714187 | Danielle Rowe | Dentist | 1363 Pendergrass Rd, Jefferson, GA 30549-3054 | 2020-06-12 |
| 1962027425 | Melody Johnson | Social Worker | 2401 Audubon Trce, Jefferson, LA 70121-1554 | 2020-06-10 |
| Find all providers in JEFFERSON | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019739 | Thomas R. Dupree Jr. | Nurse Practitioner | 321 Brooks, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1750908620 | Tammy K Dupree | Nurse Practitioner | 321 Brooks # 321, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
| 1942779772 | Rebekah Hawkins | Nurse Practitioner | 57 Slate Ave, Jefferson, GA 30549-8220 | 2018-11-22 |
| 1013431394 | Susan Eva Harrison Martinez | Nurse Practitioner | 1514 Jefferson Hwy Fl 1, Jefferson, LA 70121-2429 | 2017-07-28 |
| 1154843373 | Stephanie Ann Mason | Nurse Practitioner | 127 Park Dr, Jefferson, GA 30549-1269 | 2017-07-10 |
| 1548706443 | Christopher Touzeau | Nurse Practitioner | 4118 Camden Dr, Jefferson, MD 21755-7302 | 2017-01-16 |
| 1033660584 | Jenia Harris | Nurse Practitioner | 530 Brown St, Jefferson, LA 70121-2602 | 2016-10-19 |
| 1194111658 | Gretchen Geist | Nurse Practitioner | N4810 State Road 89, Jefferson, WI 53549-9629 | 2015-04-11 |
| Find all providers in JEFFERSON | ||||
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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.