DESTINY MAYO-JURATOVIC (NPI# 1154860294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154860294 |
| Entity Type | Individual |
| Full Name | DESTINY MAYO-JURATOVIC |
| Credential | CRNP |
| Practice Address |
204 W 26th St Erie PA 16508-1806 |
| Practice Telephone | 8148644755 |
| Practice Fax Number | 8148645430 |
| Mailing Telephone | 8148644755 |
| Mailing Fax Number | 8148645430 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
SP017240 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
204 W 26TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16508-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780651554 | Jeffrey P Mcgovern | Internal Medicine | 204 W 26th St, Erie, PA 16508-1806 | 2006-03-01 |
| 1366042657 | Emily Allen | Physician Assistant | 204 W 26th St, Erie, PA 16508-1806 | 2020-10-27 |
| 1922615046 | Briana Leigh Antalek | Nurse Practitioner | 204 W 26th St, Erie, PA 16508-1806 | 2020-09-24 |
| 1518438662 | Kim Marie Raines | Nurse Practitioner | 204 W 26th St, Erie, PA 16508-1806 | 2018-12-16 |
| 1730559253 | Breanna Burdick | Physician Assistant | 204 W 26th St, Orthopedic Surgeons Inc., Erie, PA 16508-1806 | 2015-09-26 |
| 1417340100 | St Vincent Medical Education and Research Institute Inc. | Orthopaedic Surgery | 204 W 26th St, Erie, PA 16508-1806 | 2015-03-05 |
| 1508272162 | Anisha Pratap Kamath | Internal Medicine | 204 W 26th St, Erie, PA 16508-1806 | 2014-07-03 |
| 1407274418 | Samina Afreen | Internal Medicine | 204 W 26th St, Erie, PA 16508-1806 | 2014-04-07 |
| 1972932960 | Siobhan Kobal | Nurse Practitioner | 204 W 26th St, Erie, PA 16508-1806 | 2013-11-11 |
| 1477994713 | Animesh Chidanandrao Gour | Internal Medicine | 204 W 26th St, Erie, PA 16508-1806 | 2013-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417486705 | Robert Vance Danielson IIi | Specialist/Technologist | 3527 Maple St., Erie, PA 16508 | 2017-06-08 |
| 1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
| 1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
| 1417371311 | Psychological Health Services | Counselor | 956 West 38th Street, Erie, PA 16508 | 2014-02-12 |
| 1518210699 | Deerfield Behavioral Health, Inc. | Counselor | 2808 State Street, Erie, PA 16508 | 2012-10-26 |
| 1851675243 | Nutrition and Healing Center, Inc. | Chiropractor | 1455 West 38th Street, Suite 2, Erie, PA 16508 | 2011-10-04 |
| 1659659415 | Patricia Luisa Palotas | Counselor | 2170 West 32nd, Affinity Family Services, Inc, Erie, PA 16508 | 2011-07-28 |
| 1841581808 | Melissa M Wilson | Dietitian, Registered | 23 West 41st Street, Erie, PA 16508 | 2011-04-26 |
| 1649599374 | Amber A Kridler | Chiropractor | 1334 W. 26th St, Erie, PA 16508 | 2010-05-20 |
| 1023256427 | Christine Williamson | Occupational Therapist | 10 Summit Street, Erie, PA 16508 | 2009-01-23 |
| Find all providers in zip 16508 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245646835 | Sarah E Packosky | Nurse Practitioner | 201 State St, Erie, PA 16550-0002 | 2014-07-03 |
| 1861803728 | Donald Seth Taylor | Nurse Practitioner | 201 State St, Erie, PA 16550-0002 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393213 | Eunhwa Hong | Nurse Practitioner | 1167 Canterbury Dr, Lansdale, PA 19446-5359 | 2019-06-04 |
| 1093276289 | William J Ravert Jr. | Nurse Practitioner | 4713 E Trindle Rd, Mechanicsburg, PA 17050-3616 | 2019-03-29 |
| 1720534068 | Jacob R Corbin | Nurse Practitioner | 200 Lothrop Street (upmc Presby- Ccm Office), 6 Floor Scaife Hall, Pittsburgh, PA 15232 | 2016-08-28 |
| 1063663854 | Michelle D Keibler | Nurse Practitioner | 200 Delafield Rd Ste 2040, Pittsburgh, PA 15215-3234 | 2008-10-10 |
| 1386894939 | Patricia Anne Kroekel | Nurse Practitioner | 423 N Pennsylvania, Morrisville, PA 19067 | 2008-09-19 |
| 1205937182 | Carol S Hasse-jungkurth | Nurse Practitioner | 974 Wind Song Rd, West Chester, PA 19382-2055 | 2006-09-26 |
| 1174514152 | Stephanie Cristoaica | Nurse Practitioner | 1697 Crown Avenue, Lancaster, PA 17601-6310 | 2005-10-31 |
| 1174123079 | Kelli Lynn Martin | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
| 1457951345 | Christopher Bauer | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
| 1710594262 | Kate Nikorak | Nurse Practitioner | 801 Ostrum St, Fountain Hill, PA 18015-1000 | 2020-09-29 |
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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.