MRS. REBECCA KATHLEEN LEDWIN (NPI# 1972693836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972693836 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA KATHLEEN LEDWIN |
| Credential | MS, RN, CPNP |
| Practice Address |
4811 Buckley Rd Liverpool NY 13088-3676 |
| Mailing Address |
16 Bordeaux Way Fairport NY 14450-4614 |
| Practice Telephone | 3154579966 |
| Practice Fax Number | 3154579854 |
| Mailing Telephone | 5852235979 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F380349-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02074826 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Ayrault Rd Ste 100, Fairport, NY 144508941 | 5852238653 |
| Street Address |
4811 BUCKLEY RD |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13088-3676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538129655 | Fozia Bakshi | Pediatrics | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2006-03-24 |
| 1700492758 | Kaitlyn Kropf | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2020-09-16 |
| 1134732381 | Eleanor Gustke | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2020-08-27 |
| 1003428418 | Meghan Dambach | Pediatrics | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2020-08-18 |
| 1427681600 | Darcie Morgan | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2020-02-17 |
| 1073173332 | Hunter Pierce | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3676 | 2019-06-19 |
| 1194380139 | Ranya Ali Hamdan | Physician Assistant | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2019-05-06 |
| 1629544051 | Grace Geno | Physician Assistant | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2018-10-24 |
| 1043739055 | Meahgan Lefevre | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3676 | 2017-09-12 |
| 1871011346 | Lisa Carter | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3676 | 2017-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
| 1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
| 1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
| 1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
| 1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
| 1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
| 1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
| 1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
| Find all providers in zip 13088 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164891560 | Lyndsey Noel Martin | Nurse Practitioner | 7953 Orion Path, Liverpool, NY 13090 | 2015-09-16 |
| 1245344530 | Gail K Colten | Nurse Practitioner | 4811 Buckley Road, Liverpool, NY 13088 | 2006-08-17 |
| 1700492758 | Kaitlyn Kropf | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2020-09-16 |
| 1427681600 | Darcie Morgan | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2020-02-17 |
| 1073173332 | Hunter Pierce | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3676 | 2019-06-19 |
| 1871011346 | Lisa Carter | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3676 | 2017-09-06 |
| 1386909786 | Lara K. Ogundiran | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2012-07-11 |
| 1679706873 | Megan C. Boyles | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2009-09-03 |
| 1518160696 | Roxanne T Mott | Nurse Practitioner | 8100 Oswego Rd, Suite 225, Liverpool, NY 13090-1654 | 2007-06-07 |
| 1508943861 | Nagulinie Shukla | Nurse Practitioner | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2006-11-01 |
| Find all providers in LIVERPOOL | ||||
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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.