Patricia Elaine Predmore, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

298050 Issued in NY

Practice address

23 Wallingford Rise
Fairport, NY 14450-9390

Phone

(585) 223-6272

NPI assigned

Feb 18, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1972800423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WALLINGFORD RISE",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144509390",
            "telephone_number": "585-223-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WALLINGFORD RISE",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144509390",
            "telephone_number": "585-223-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREDMORE",
        "first_name": "PATRICIA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "298050",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "298050",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "NY",
            "license": "298050",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "298050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Jean Pond, M.S. C.A.S.
• Alyssa M Poole, OTR/L
• Joyce Porzi
• Lauren Elizabeth Porzi, PT, DPT
• Brayla A Potter
• Preston Orthodontics, PLLC
• Amie J Preston, OTR/L
• Janis P. Preston, D.D.S.
• Katie Lee Pretko
• Jennifer Jane Price, LMHC

• Registered Nurse in Fairport, NY
• Providers in Fairport, 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 Feb 18, 2011; 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.