STEPHANIE GRENCAVAGE (NPI# 1104279850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104279850 |
| Entity Type | Individual |
| Full Name | STEPHANIE GRENCAVAGE |
| Credential | CRNP |
| Practice Address |
390 Pierce St Kingston PA 18704-5532 |
| Practice Telephone | 5702883535 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP011229 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
390 PIERCE ST |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955618 | Carl J. Urbanski | Optometrist | 390 Pierce St, Kingston, PA 18704-5532 | 2005-07-12 |
| 1942782321 | Nayab Davis | Optometrist | 390 Pierce St, Kingston, PA 18704-5532 | 2018-09-03 |
| 1578820668 | Andrews and Verazin Surgical Consultants | Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2012-04-13 |
| 1780836296 | Steven Milewski | Physician Assistant | 390 Pierce St, Kingston, PA 18704-5532 | 2008-10-15 |
| 1114179637 | Kelly Ann Bevilaqua-tracy | Physician Assistant | 390 Pierce St, Kingston, PA 18704-5532 | 2008-10-15 |
| 1437200367 | William D Hottenstein Md PC | Internal Medicine | 390 Pierce St, Kingston, PA 18704-5532 | 2007-01-16 |
| 1437228020 | Frank O'brien M.d. P.C. | Orthopaedic Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2006-11-07 |
| 1114939451 | Orthopaedic Consultants of Wyoming Valley LLC | Orthopaedic Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2006-08-13 |
| 1770595027 | Michael C Raklewicz | Orthopaedic Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2006-08-13 |
| 1528070778 | James M Mattucci | Orthopaedic Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2006-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| 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 |
|---|---|---|---|---|
| 1033743182 | Kate Zinkowski | Nurse Practitioner | 14 Standish Ave W, Kingston, MA 02364-1766 | 2020-02-27 |
| 1518423078 | Onsite Care, LLC | Nurse Practitioner | 808 Tyler Pl, Kingston, TN 37763-3515 | 2019-02-20 |
| 1275061467 | Ayandeh Health LLC | Nurse Practitioner | 7 N Main Street, Kingston, OK 73439 | 2017-06-01 |
| 1992257976 | Yufang Ku Johnson | Nurse Practitioner | 98 Forest Hill Dr, Kingston, NY 12401-7411 | 2016-10-26 |
| 1619373412 | Kari Beth-hinderliter | Nurse Practitioner | 5988 State St, Kingston, MI 48741 | 2014-11-06 |
| 1578777967 | Carole Elaine Gooch | Nurse Practitioner | 30 Ward Mountain Rd, Kingston, GA 30145-1129 | 2007-05-09 |
| 1356335459 | Jacqueline E Howard | Nurse Practitioner | 814 N Kentucky St, Kingston, TN 37763-2635 | 2005-09-02 |
| 1932750783 | Jennifer Lacina | Nurse Practitioner | 40 Hurley Ave Ste 4, Kingston, NY 12401-3738 | 2019-09-24 |
| 1801343884 | Maggie M Haywood | Nurse Practitioner | 560 Pierce St, Kingston, PA 18704-5716 | 2016-09-07 |
| 1619323516 | Celtic Healthcare of Ne Pa, Inc. | Nurse Practitioner | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2016-05-10 |
| Find all providers in KINGSTON | ||||
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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.