Jennifer Amber Facteau-Rabideau, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

30 306177 Issued in NY

Practice address

345 Cornelia St
Plattsburgh, NY 12901-2377

Phone

(518) 310-3090

Fax

(518) 310-3094

NPI assigned

Aug 9, 2012

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jfacteau-rabideau@pmc.medentdirect.com

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

• Champlain Valley Physicians Hospital Medical Center

  • Internal Medicine Physician
  • Plattsburgh, NY
  • NPI 1124189782
  Medicare reassignment NPD
• Clinton County

  • Mental Health Counselor
  • Plattsburgh, NY
  • NPI 1164465902
  Medicare reassignment NPD
• Plattsburgh Medical Care, PLLC

  • Family Medicine Physician
  • Plattsburgh, NY
  • NPI 1982703070
  Medicare reassignment NPD
• Clinton County

  • Clinic/Center
  • Plattsburgh, NY
  • NPI 1114979945
  NPD
• Adirondack Primary Care

  • Internal Medicine Physician
  • Plattsburgh, NY
  • NPI 1013667112
  NPD (past)

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1437406477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CORNELIA ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012377",
            "telephone_number": "518-310-3090",
            "fax_number": "518-310-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CORNELIA ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012377",
            "telephone_number": "518-310-3090",
            "fax_number": "518-310-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACTEAU-RABIDEAU",
        "first_name": "JENNIFER",
        "middle_name": "AMBER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "30 306177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Valley Nursing Home
• Charles A Everly, M.D.
• Phoebe L Everson, MD
• Eye Care for the Adirondacks Associates in Ophthalmology PC
• Eye Care for the Adirondacks Associates in Ophthalmology, PC
• Darwyna Facteau, R. N.
• James Facteau
• Peyton Falb
• Julie Falletta, PHARMD
• Tahir R Farooki, DDS

• Adult Health Nurse Practitioner in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.