Christine Leslie Provost, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

722626 Issued in NY

Practice address

1099 Jay St BLDG P
Rochester, NY 14611-1164

Phone

(585) 325-3580

NPI assigned

Oct 11, 2022

Sex

Female

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": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1649995747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 JAMES MOORE CIR",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144689416",
            "telephone_number": "585-355-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 JAY ST BLDG P",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146111164",
            "telephone_number": "585-325-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "CHRISTINE",
        "middle_name": "LESLIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "722626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie J Proud, P.A.
• Philippa J Proudfoot, LCSW-R
• Cindy Brumbaugh Proukou, CPNP
• Patricia Ann Proulx, RN
• Kimberly L. Provenzano
• Dawn Marie Pruett, M.D.
• Jay W. Pruiett, LCSW-R
• Jessica Pruitt, LMHC
• Caleb Prus, MD
• Patricia B Prusak, LMSW

• Registered Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.