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ANGELA ROTELLA
NPI 1376022707
Licensed Practical Nurse in Watertown, NY

Active since August 07, 2018
211 J.B. WISE PLAZA, WATERTOWN, NY 13601(315) 782-7445(315) 779-1184 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2020, Aug 7, 2018 (2 updates tracked since 2018).

About Angela Rotella NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA ROTELLA (NPI 1376022707) is an individual licensed practical nurse in Watertown, New York, licensed in New York (327890) and active in the NPI registry since August 2018. She maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1376022707
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANGELA ROTELLA
Location Address211 J.B. WISE PLAZAWatertown, NY 13601
Mailing AddressPo Box 6550Watertown, NY 13601-6550 · (315) 782-7445 · Fax (315) 779-1184
Phone(315) 782-7445
Fax(315) 779-1184
Sole ProprietorNo
Enumeration DateAugust 7, 2018
Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
✔ NPI 1376022707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 327890
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
211 J.B. WISE PLAZA, Watertown, NY 13601
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Secondary Practice Location 1

Location 1167 Polk St Ste 300Watertown, NY 13601-2770 · Phone (315) 782-7445 · Fax (315) 779-1184

Other Identifiers 1

Medicaid3372621NY

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR FREEMAN
Licensed Practical Nurse
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
SHAWNA STONE
Social Worker (Clinical)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
LISA M AUGUSTUS MHC
Counselor (Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
EUNMI PARK
Counselor (Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
SHIRLEY ALICE RETZ MHC
Counselor (Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
MARGARET RUTH MENDOZA PSY.D.
Student in an Organized Health Care Education/Training Program
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
PATRICIA LEONE NP
Nurse Practitioner (Psychiatric/Mental Health)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445
BRITTANY M CLARK LMSW
Social Worker (Clinical)
211 J.B. WISE PLAZA
WATERTOWN, NY 13601
Jefferson County (315) 782-7445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Rotella's NPI number?

The NPI number for Angela Rotella is 1376022707. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Where is Angela Rotella located?

Angela Rotella practices at 211 J.B. Wise Plaza, Watertown, NY 13601. The listed phone number is (315) 782-7445.

What is Angela Rotella's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Angela Rotella was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.