Small Town Health Care Jennifer Facteau-Rabideau RN, Adult Health NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

SMALL TOWN HEALTH CARE JENNIFER FACTEAU-RABIDEAU RN, ADULT HEALTH NP-C

Practice address

345 Cornelia St
Plattsburgh, NY 12901-2377

Phone

(518) 310-3090

Fax

(518) 310-3094

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Jennifer Amber Facteau-Rabideau, ANP-C

Title

Owner

Phone

(518) 310-3090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1609202449",
    "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": {
        "organization_name": "SMALL TOWN HEALTH CARE JENNIFER FACTEAU-RABIDEAU RN, ADULT HEALTH NP-C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "FACTEAU-RABIDEAU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-310-3090",
        "authorized_official_credential": "ANP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 25, 2013; 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.