AIMEE DETWEILER


Address: 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649
Phone: 5702551178

AIMEE DETWEILER (NPI# 1023407244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023407244
Entity Type Individual
Full Name AIMEE DETWEILER
Credential CRNP
Practice Address 114 Lt Michael Cleary Dr
Dallas
PA 18612-1649
Mailing Address 100 N Academy Ave
Danville
PA 17822-4903
Practice Telephone 5702551178
Practice Fax Number 5702551156
Mailing Telephone 5702716144
Mailing Fax Number 5702716578
Enumeration Date 2015-01-12
Last Update Date 2020-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner SP014073 PA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
SP014073 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 114 LT MICHAEL CLEARY DR
City DALLAS
State PA
Zip Code 18612-1649

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063472389 Michael A. Kovalick Family Medicine 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2006-03-23
1184260184 Lindsay Theresa Denion Family Medicine 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2019-11-25
1720623523 Courtney Mackrell Nurse Practitioner 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2019-11-15
1962944041 Mallory Turner Physician Assistant 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2016-11-07
1598113045 Raymond Alan Besecker Pharmacist 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2016-05-25
1609220961 Kathryn Olivia Gussman Family Medicine 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2016-04-22
1881946770 Lindsay Margaret Stavish Physician Assistant 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2012-10-03
1679820583 Matthew George Perry Physician Assistant 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2012-08-09
1912262759 Matthew Evan Joseph Family Medicine 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2012-07-09
1649568403 Geisinger Wyoming Valley Medical Center Clinic/Center 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 2011-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487009882 Jacqueline Patricia O'brien Occupational Therapist 345 Lake Louise Rd, Dallas, PA 18612 2016-05-04
1164772927 Katie M Ferguson Pharmacist 26 Dallas Shopping Center Memorial Highway, Dallas, PA 18612 2012-09-19
1619235892 Crista Zern Physical Therapist 4 East Center Hill Road, Dallas, PA 18612 2012-04-25
1336423631 Angela Mary Evans Nurse Practitioner 301 Lake Street, Misericordia University's Health & Wellness Center, Dallas, PA 18612 2011-10-05
1376835868 Peter Frederick Casterline Surgery 5 Old Well Lane, Dallas, PA 18612 2011-05-03
1336386051 Judy A Williams Speech-Language Pathologist 368 Tioga Avenue, Kingston, PA 18612 2009-01-16
1013195015 Joseph John Kowalski Psychiatry & Neurology 2 Birch Hill Lane, Dallas, PA 18612 2008-02-01
1063621233 Back Mountain Pediatrics Clinical Medical Laboratory 550 Memorial Highway, Dallas, PA 18612 2007-05-22
1760699177 Leonard M Evans Internal Medicine 1806 Country Club Apartments, Dallas, PA 18612 2007-05-16
1417170549 Clem-mar House, Inc. Substance Abuse Rehabilitation Facility 2860 State Route 309, Dallas, PA 18612 2007-04-10
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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
1487274304 Arlena Culpepper Guzy Nurse Practitioner 900 Jackson St Ste 350, Dallas, TX 75202-4486 2020-04-21
1689205056 Lauren Ashley Gore Nurse Practitioner 7777 Glen America Dr Apt 330, Dallas, TX 75225-1839 2020-02-03
1508402405 Bailey Mcgee Nurse Practitioner 2901 Indiana Blvd Apt 356, Dallas, TX 75226-1543 2019-11-26
1235790288 Julie Mills Struble Nurse Practitioner 3607 Oak Lawn Ave Unit 280, Dallas, TX 75219-4743 2019-06-20
1689238339 Katherine O'connor Nurse Practitioner 6300 Harry Hines Blvd Fl 6, Dallas, TX 75235-5259 2019-04-29
1033678792 Sandra Beverley Burrell-spence Nurse Practitioner 41 Riders Rdg, Dallas, GA 30132-8399 2019-03-12
1396201356 Roseann Estrada Mendoza Nurse Practitioner 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 2019-02-14
1841701984 Tam Numinh Tran Nurse Practitioner 17370 Preston Rd Ste 412, Dallas, TX 75252-5611 2017-10-16
1356852784 Dallas County Hospital District Nurse Practitioner 1822 Young St, Dallas, TX 75201-5612 2017-10-12
1497274294 Kelly Beth Caldwell Nurse Practitioner 6301 Gaston Ave Ste 100, Dallas, TX 75214-3922 2017-09-12
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City DALLAS
Zip Code 18612

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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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