Theresa Anne Baldassare, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

00249373 Issued in NY

Practice address

50 Village TRL
Honeoye Falls, NY 14472-1036

Phone

(585) 624-1107

NPI assigned

Nov 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760556120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 VILLAGE TRL",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721036",
            "telephone_number": "585-624-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 VILLAGE TRL",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721036",
            "telephone_number": "585-624-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDASSARE",
        "first_name": "THERESA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "00249373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01986534",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer K Arena, LCAT
• Trudy Marie Arsenault
• Evelyn Westermann Asher, LAC., DIPL.AC.,PH.D.
• Sarah E Ayers, OTR/L
• Amy Joy Bagley, LPN
• Margaret S Bank, RNC MSN FNP
• Loran Lee Barkley, DPT
• Doris Ruth Bobry, M.S. CCC-SLP
• Teresa Elizabeth Braell, RN
• Suzanne Cannon, RN

• Licensed Practical Nurse in Honeoye Falls, NY
• Providers in Honeoye Falls, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.