MEDICARE: CARLA SPOONER NURSE PRACTITIONER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	342335	NY
2	363LF0000X	Family Nurse Practitioner	F342335-1	NY

General Provider Information

NPI Number	:	1013427996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA SPOONER NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	97 ONTARIO ST
Second Line	:
City	:	PHELPS
State	:	NY
Zip	:	14532-9619
Country	:	US
Telephone Number	:	585-230-6993
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 SAWGRASS DR STE 150
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-4655
Country	:	US
Telephone Number	:	585-262-9150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2017
Last Update Date	:	06/29/2023

Similar Medicare Providers

1912296088 — ANGELA PUGLIESE BESSETTE MD
Practice Location Address:

160 SAWGRASS DR STE 200
ROCHESTER, NY
14620-4655

Practice Phone: 585-442-3411
Practice Fax: 585-442-9550

1295811560 — RETINA ASSOCIATES OF WESTERN NY PC
Practice Location Address:

160 SAWGRASS DR STE 200
ROCHESTER, NY
14620-4655

Practice Phone: 585-442-3411
Practice Fax: 585-442-9550

1922029503 — EDWARD FARON HALL MD
Practice Location Address:

160 SAWGRASS DR STE 200
ROCHESTER, NY
14620-4655

Practice Phone: 585-442-3411
Practice Fax: 585-442-9550

1114933421 — LISA WALLIN ANP-C, CWS
Practice Location Address:

160 SAWGRASS DR STE 130
ROCHESTER, NY
14620-4655

Practice Phone: 585-262-9100
Practice Fax: 585-256-2046

1104281310 — JODI ZONA NP
Practice Location Address:

160 SAWGRASS DR STE 130
ROCHESTER, NY
14620-4655

Practice Phone: 585-262-9169
Practice Fax:

1790244572 — JARED EBERT MD
Practice Location Address:

160 SAWGRASS DR STE 200
ROCHESTER, NY
14620-4655

Practice Phone: 585-442-3411
Practice Fax: 585-442-9550

Directions to “ CARLA SPOONER NURSE PRACTITIONER” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.