Jeff Pradere, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

715473 Issued in NY

Practice address

208A John Burke Apts
Queensbury, NY 12804-1980

Phone

(646) 617-8266

NPI assigned

Jun 29, 2020

Sex

Male

Sole proprietor

Yes

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1346867074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208A JOHN BURKE APTS",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041980",
            "telephone_number": "646-617-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208A JOHN BURKE APTS",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041980",
            "telephone_number": "646-617-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADERE",
        "first_name": "JEFF",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "715473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy A Podziewski, FNP-BC
• Taylor Polsinelli, PHARMD
• Thomas G Portuese, MD
• Positive Action Physical Therapy, PC
• Jamie Marie Powers, LCSW-R
• Kattie Mae Pratt, D.P.T
• Ashlee Prevost, CASAC-T
• Jodee A Price, OD
• Kathleen G Price
• Prime Care Physicians, P.L.L.C.

• Home Health Registered Nurse in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.