ELITE PROVIDER MANAGEMENT, LLC (NPI# 1063075919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063075919 |
| Entity Type | Organization |
| Organization Name | ELITE PROVIDER MANAGEMENT, LLC |
| Practice Address |
941 Church Ln Lansdowne PA 19050 |
| Mailing Address |
941 Church Ln Lansdowne PA 19050-3725 |
| Practice Telephone | 4848553142 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | MICHELLE CUTTINO (CO-OWNER) |
| Authorized Official Telephone | 4848553142 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| MAC Health Consultants, LLC | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2417 Welsh Rd, Philadelphia, PA 191142213 | 4844031097 |
| Street Address |
941 CHURCH LN |
| City | LANSDOWNE |
| State | PA |
| Zip Code | 19050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765932 | Alera Home Health LLC | Home Health | 941 Church Ln, Lansdowne, PA 19050-3725 | 2020-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598295602 | Sherita Baylis | In Home Supportive Care | 112 Hirst Ave, Lansdowne, PA 19050 | 2017-06-13 |
| 1417486861 | Raul Alvarez De- La Cadena | Counselor | 7 Willowbrook Ave, Lansdowne, PA 19050 | 2017-06-08 |
| 1154857589 | Pettaway Pursuit Foundation | Home Health | 11 Owen Ave, Lansdowne, PA 19050 | 2017-05-04 |
| 1265895155 | Ruth Levin | Behavioral Analyst | 111 N. Lansdowne Ave. Bldg 4 J2, Lansdowne, PA 19050 | 2016-03-30 |
| 1366865065 | Anthony Napoletano | Hearing Instrument Specialist | 54 E. Baltimore Avenue, Lansdowne, PA 19050 | 2014-01-31 |
| 1386984151 | Se,com,sa | Chronic Disease Hospital | Eurovillage Compound, Al Khobar, Eastern Province, 3193, Saudi Arabia, EUROVILLAGE COMPOUND, AL KHOBAR, EASTERN 19050 | 2013-02-15 |
| 1659636116 | Ameri Dental Group P.C. | Dentist | 43 South Lansdowne Avenue, Lansdowne, PA 19050 | 2012-07-11 |
| 1184934663 | Neil I Pakett | Dentist | 43 S. Lansdowne Ave., Lansdowne, PA 19050 | 2010-10-18 |
| 1376863043 | Soar Corp | Community/Behavioral Health | 33 Williams St, Lansdowne, PA 19050 | 2010-06-04 |
| 1952624322 | Roberta Marie Host | Dentist | 263 N. Lansdowne Ave, Lansdowne, PA 19050 | 2010-03-12 |
| Find all providers in zip 19050 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930582 | Leah Marie Kujawski | Nurse Practitioner | 19455 Deerfield Ave Ste 306, Lansdowne, VA 20176-8102 | 2020-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648320 | Jennifer Glace | Nurse Practitioner | 5 Moore Cir, Media, PA 19063-4953 | 2020-10-28 |
| 1710586805 | Tracey Wuestkamp Sloan | Nurse Practitioner | 5218 Bailey Ct W, Doylestown, PA 18902-1477 | 2020-10-20 |
| 1477151280 | Kelly M. Distelrath | Nurse Practitioner | 4203 Timberlane Dr, Allison Park, PA 15101-2954 | 2020-10-14 |
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1679170989 | Aubree Marie Richards | Nurse Practitioner | 253 N Hershey Rd Ste 2, Harrisburg, PA 17112-9752 | 2020-10-08 |
| 1326654237 | Alissa Marie Buckanavage | Nurse Practitioner | 6223 Autumn View Dr, Harrisburg, PA 17112-1843 | 2020-09-17 |
| 1508471962 | Macey Schaffer | Nurse Practitioner | 2903 Broadway Ave, Pittsburgh, PA 15234-2801 | 2020-09-12 |
| 1710592472 | Novique Medical Aesthetics | Nurse Practitioner | 1715 S Easton Rd, Doylestown, PA 18901-5923 | 2020-09-10 |
| 1992318141 | Mary Jucel P Angeles | Nurse Practitioner | 100 E Lancaster Ave Ste 467, Wynnewood, PA 19096-3434 | 2020-08-27 |
| 1205448818 | Emily A Lockwood | Nurse Practitioner | 266 Lancaster Ave Ste 303, Malvern, PA 19355-3256 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
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| 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.