KIMBERLY L CONBOY (NPI# 1962932947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962932947 |
| Entity Type | Individual |
| Full Name | KIMBERLY L CONBOY |
| Credential | FNP, RN, DPT |
| Practice Address |
5008 Brittonfield Pkwy Ste 700 East Syracuse NY 13057 |
| Mailing Address |
5008 Brittonfield Pkwy Ste 700 East Syracuse NY 13057-9249 |
| Practice Telephone | 3154727504 |
| Practice Fax Number | 3156344677 |
| Mailing Telephone | 3154727504 |
| Mailing Fax Number | 3156344677 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F341821 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS LICENSE | F341821 | 01 |
| Street Address |
5008 BRITTONFIELD PKWY STE 700 |
| City | EAST SYRACUSE |
| State | NY |
| Zip Code | 13057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053371344 | David Wilson Wormuth | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057-9249 | 2006-03-23 |
| 1518529361 | Jessica Lee Quinlan | Physician Assistant | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057-9249 | 2019-07-02 |
| 1033778378 | Kristina Marie Breckenridge | Physician Assistant | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057-9249 | 2019-06-11 |
| 1174181499 | Michal Raphael | Physician Assistant | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057-9249 | 2019-06-01 |
| 1427527464 | Alexis Brianna Coughlin | Nurse Practitioner | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057-9249 | 2018-11-20 |
| 1215402227 | Autumn Elise Colosimo | Nurse Practitioner | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057-9249 | 2018-10-05 |
| 1891274346 | Bridget M Loper | Nurse Practitioner | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057-9249 | 2018-08-07 |
| 1306332309 | Kristen Nicole Weiler | Nurse Practitioner | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057 | 2018-07-03 |
| 1609362615 | Lauren Margerie Mcnally | Nurse Practitioner | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057 | 2018-07-03 |
| 1164925095 | Emily Laura Kratz | Nutritionist | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057 | 2018-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891335527 | Amanda Christian | Clinic/Center | Hcr Home Care- 6007 Fair Lakes Rd, East Syracuse, NY 13057 | 2020-01-10 |
| 1437690104 | Wojtyna Dental LLC | Dentist | 6600 Weighlock Drive, East Syracuse, NY 13057 | 2017-03-15 |
| 1538609854 | Marie Elena Dow | Health Educator | 6576 Kirkville Road, East Syracuse, NY 13057 | 2017-03-06 |
| 1821534470 | Maureen Lanious | Massage Therapist | 6701 Manlius Center Road, Avanti Healing Arts, East Syracuse, NY 13057 | 2017-01-06 |
| 1629526058 | A Woman's Resource | Home Health | 5860 Bowman Road, East Syracuse, NY 13057 | 2016-09-14 |
| 1386029221 | Apollo Physical Therapy, Pllc | Physical Therapist | 6304 Carrier Parkway, East Syracuse, NY 13057 | 2015-07-21 |
| 1457734386 | Podiatry Services of Central New York, PC | Podiatrist | 6647 Kirkville Road, East Syracuse, NY 13057 | 2015-07-09 |
| 1730592163 | Plev Bc Plc | Dentist | 6600 Weighlock Dr, East Syracuse, NY 13057 | 2014-06-03 |
| 1821418740 | Kelsey Spradlin | Speech-Language Pathologist | 6400 Fremont Rd, East Syracuse, NY 13057 | 2014-04-17 |
| 1992044945 | Sizewise Rentals | Durable Medical Equipment & Medical Supplies | 6504 Basile Rowe, East Syracuse, NY 13057 | 2013-02-12 |
| Find all providers in zip 13057 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285067637 | Amy Lynn Luchsinger | Nurse Practitioner | 4939 Brittonfield Pkwy Ste 101, East Syracuse, NY 13057-9208 | 2013-08-20 |
| 1457357923 | Margaret A Sitnik | Nurse Practitioner | 5008 Brittonfield Pkwy, Suite 700, East Syracuse, NY 13057 | 2005-06-21 |
| 1427527464 | Alexis Brianna Coughlin | Nurse Practitioner | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057-9249 | 2018-11-20 |
| 1215402227 | Autumn Elise Colosimo | Nurse Practitioner | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057-9249 | 2018-10-05 |
| 1891274346 | Bridget M Loper | Nurse Practitioner | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057-9249 | 2018-08-07 |
| 1306332309 | Kristen Nicole Weiler | Nurse Practitioner | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057 | 2018-07-03 |
| 1609362615 | Lauren Margerie Mcnally | Nurse Practitioner | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057 | 2018-07-03 |
| 1164931382 | Jenna Leigh Leubner | Nurse Practitioner | 5008 Brittonfield Pkwy, East Syracuse, NY 13057 | 2017-09-20 |
| 1528581915 | Jennifer L Mastropietro | Nurse Practitioner | 5008 Brittonfield Pkwy Ste 700, East Syracuse, NY 13057 | 2017-07-18 |
| 1598286171 | Matthew Macdonald Aloi | Nurse Practitioner | 6620 Fly Rd, East Syracuse, NY 13057-9791 | 2017-07-04 |
| Find all providers in EAST SYRACUSE | ||||
| City | EAST SYRACUSE |
| Zip Code | 13057 |
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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.