Lisa Kotyra
Nurse Practitioner

Address: 601 Elmwood Ave, Rochester, NY 14642-0002
Phone: 5852733760

Lisa Kotyra (NPI# 1689770901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1689770901
Entity Type Individual
Full Name Lisa Kotyra
Credential NP
Gender Female
Practice Address 601 Elmwood Ave
Rochester
NY 14642-0002
Practice Telephone 5852733760
Practice Fax Number 5852731129
Mailing Address 601 Elmwood Ave
Box 679b
Rochester
NY 14642-0002
Mailing Telephone 5852733760
Mailing Fax Number 5852731129
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-09-15
Last Update Date 2011-08-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers F301044 NY
No 163W00000X Registered Nurse Nursing Service Providers 424459 NY

Other Provider Identifier

State Identifier Issuer Type Code
NY P019301044 OTHER BLUE CHOICE
NY 01980198 MEDICAID
NY NP0783 OTHER PREFERRED CARE

Physician Overview

NPI 1689770901
PAC ID by PECOS 9234160219
Professional Enrollment ID I20050830000259
Full Name Lisa G Kotyra
Organization Legal Name CARDIOLOGY CLINICAL GROUP
Phone Number 5852752475
Gender F
Credential NP
Graduation Year 1992
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 3577458199
Number of Group Practice Members 102
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330285 STRONG MEMORIAL HOSPITAL

Office Location

Street Address 601 ELMWOOD AVE
City ROCHESTER
State NY
Zip Code 14642-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154324317 Marc Norman Berliant Internal Medicine 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 2005-05-23
1033682083 Bandar Aljudaibi Internal Medicine 601 Elmwood Ave, Rochester, NY 14642-0001 2019-01-02
1134691702 Samantha Howell Physician Assistant 601 Elmwood Ave, Rochester, NY 14642-0002 2018-12-20
1073084976 Sacora Chatman Nurse Practitioner 601 Elmwood Ave, Rochester, NY 14642-0001 2018-12-17
1649747734 Jacquelyn Spector Nurse Practitioner 601 Elmwood Ave, Rochester, NY 14642-0001 2018-10-27
1558836544 Alyssa Haugh Physician Assistant 601 Elmwood Ave, Rochester, NY 14642-0001 2018-10-05
1093290363 Emily Roesch Physician Assistant 601 Elmwood Ave, Rochester, NY 14642-0002 2018-10-02
1467937425 Dana Bethany Rojek Nurse Practitioner 601 Elmwood Ave, Rochester, NY 14642-0002 2018-09-26
1023593183 Nora Marie Shafer Pharmacist 601 Elmwood Ave, Rochester, NY 14642-0001 2018-09-25
1811471949 Hanna Choi Physician Assistant 601 Elmwood Ave, Rochester, NY 14642-0001 2018-09-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497227094 Alison Kent Pediatrics Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 2018-12-20
1326539909 Saumya Goel Aujla Student in an Organized Health Care Education/Training Program 601 Elmwood Ave # 664, Rochester, NY 14642 2018-05-19
1194222513 Jonah Meyerhoff Student in an Organized Health Care Education/Training Program 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 2018-04-11
1922505387 Daniel Bral Student in an Organized Health Care Education/Training Program 601 Elmwood Ave # 655, Rochester, NY 14642 2018-04-11
1144738949 Francis Michael Manzo Registered Nurse University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 2018-01-15
1225552649 George Norman Abraham Internal Medicine 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 2017-07-27
1861928301 Sonia Thakur Student in an Organized Health Care Education/Training Program 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 2017-05-03
1346773496 Zachary Todd Skabelund Student in an Organized Health Care Education/Training Program 601 Elmwood Ave Dept Box, Rochester, NY 14642 2017-04-05
1316332489 Sana Idrees Student in an Organized Health Care Education/Training Program 210 Crittenden Blvd, Flaum Eye Institute, Rochester, NY 14642 2015-04-05
1043620644 University of Rochester Medical Center General Acute Care Hospital 601 Elmwood Avenue, Box 704, Rochester, NY 14642 2014-05-05
Find all providers in zip 14642

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831674183 Julie Marie Limbeck Nurse Practitioner 1415 Portland Ave Ste 220, Rochester, NY 14621-3039 2018-10-02
1417439761 Andrew Molnar Nurse Practitioner 4451 Carriage Hill Ct, Rochester, MI 48306-4672 2018-09-04
1699255539 Amanda J. Fucci Nurse Practitioner 245 Rochester Hill Rd Unit 1a, Rochester, NH 03867-1775 2018-08-20
1124528740 Kelly F Dibble Nurse Practitioner 222 Alexander St Ste 5000, Rochester, NY 14607-4064 2018-02-20
1255847059 Brooke Maleszewski Nurse Practitioner 821 3rd Ave Se Ste 15, Rochester, MN 55904 2017-12-17
1639603111 Sos Recovery Services, Inc. Nurse Practitioner 234 Adams St, Rochester, PA 15074-2102 2017-04-12
1013387950 Nicola Keeth Nurse Practitioner 00 1st Street Sw Rochester Mn 55905 0001, Rochester, MN 55905-0001 2015-10-05
1134534944 Stephanie Solpietro Nurse Practitioner 601 Elmwood Ave Box 619-334, Rochester, NY 14642-0001 2014-07-01
1417200593 Joann Bettin Trzcinski Nurse Practitioner 95 Canal Landing Blvd Ste A, Rochester, NY 14626-5111 2012-10-26
1639352198 Jill Marie Hunchis Nurse Practitioner 200 First St Sw, Rochester, MN 55905 2007-12-07
Find all providers in ROCHESTER

Competitor

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City ROCHESTER
Zip Code 14642

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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