Jean Marie Dabbracci, ADULT NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F302397 Issued in NY

Practice address

1930 Pre Emption Rd
Penn Yan, NY 14527-9641

Phone

(315) 536-0086

Fax

(315) 536-4107

NPI assigned

Nov 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• FLH Medical ,PC

  • Family Medicine Physician
  • Penn Yan, NY
  • NPI 1578539961
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033283700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HILLCREST DR",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145279573",
            "telephone_number": "315-536-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 PRE EMPTION RD",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145279641",
            "telephone_number": "315-536-0086",
            "fax_number": "315-536-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABBRACCI",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "credential": "ADULT NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F302397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Covert, LCSW
• Crooked Lake Family Medicine
• Peggy Cummings
• Rebecca Marie Curran
• CVS Albany, L.L.C. (CVS Pharmacy # 05009)
• Emily Dailey
• Eleanor Hinds De Witt, MD
• Kaitlin Dehond, PT, DPT
• Kimberly Susan Demay, D.C.
• John T Demetros, D.C.

• Family Nurse Practitioner in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.