NICOLE MARIE MAIETTA (NPI# 1164948725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164948725 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE MAIETTA |
| Credential | CRNP |
| Practice Address |
3942 Brodhead Rd Monaca PA 15061-3028 |
| Mailing Address |
505 Emerald Dr Ellwood City PA 16117-2972 |
| Practice Telephone | 7247731994 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2019-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | SP017373 | PA | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP017373 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3942 BRODHEAD RD |
| City | MONACA |
| State | PA |
| Zip Code | 15061-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588681647 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3942 Brodhead Rd, Monaca, PA 15061-3028 | 2006-07-16 |
| 1225638604 | Louis Jason Glumac | Pharmacist | 3942 Brodhead Rd, Monaca, PA 15061-2480 | 2020-10-27 |
| 1639615677 | Carley Hupp | Pharmacist | 3942 Brodhead Rd, Monaca, PA 15061-3028 | 2017-01-14 |
| 1942755004 | Scott Stern | Nurse Practitioner | 3942 Brodhead Rd, Monaca, PA 15061-3028 | 2016-08-18 |
| 1780944173 | Tammy L Speerhas | Registered Nurse | 3942 Brodhead Rd, Monaca, PA 15061-3028 | 2012-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124498910 | Ashley Lynn Bell | Physician Assistant | 3944 Brodhead Road, Suite 7b, Monaca, PA 15061 | 2015-10-06 |
| 1902193105 | Robert Martin Niedermeyer Jr. | Pharmacist | 87 Wagner Road, Monaca, PA 15061 | 2011-07-08 |
| 1033416979 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 118 Wagner Rd, Monaca, PA 15061 | 2011-02-11 |
| 1326275595 | Tri-state Medical Group, Inc. | Internal Medicine | Route 18 Wal-mart Shopping Plaza, Heritage Valley Convenient Care-monaca, Monaca, PA 15061 | 2009-06-16 |
| 1053560888 | Beth Ann Klump | Physician Assistant | 3572 Brodhead Rd., Suite 301, Monaca, PA 15061 | 2008-09-17 |
| 1376687954 | Luke E Stall | Radiology | 3582 Brodhead Rd Ste 204, Monaca, PA 15061 | 2007-02-16 |
| 1063595684 | Wal-mart Stores East, Lp | Technician/Technologist | Pa. Rt.18/wal-mart Plaza Shpg., Monaca, PA 15061 | 2006-10-24 |
| 1366533945 | Regine Lydie Bataille-gossard | Optometrist | Walmart Vision Center, Walmart Plaza Route 18, Monaca, PA 15061 | 2006-09-27 |
| 1346341708 | Richa Bajaj | Dentist | 125 Wagner Rd, Monaca, PA 15061 | 2006-09-26 |
| 1538265319 | David Walter Jaskiewicz | Optometrist | Route 18, Walmart Plaza, Monaga, PA 15061 | 2006-09-16 |
| Find all providers in zip 15061 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871148833 | Janessa Lynn Morris | Nurse Practitioner | 79 Wagner Rd Ste 200, Monaca, PA 15061-2338 | 2019-08-07 |
| 1578939120 | Patricia Porche | Nurse Practitioner | 300 Frankfort Rd, Monaca, PA 15061-2210 | 2015-08-18 |
| 1164033205 | Shanna Oliver | Nurse Practitioner | 1230 Chestnut St, Monaca, PA 15061-1040 | 2020-08-12 |
| 1942755004 | Scott Stern | Nurse Practitioner | 3942 Brodhead Rd, Monaca, PA 15061-3028 | 2016-08-18 |
| 1093118481 | Debra Lynn Schepis | Nurse Practitioner | 3419 Brodhead Rd, Monaca, PA 15061-3131 | 2014-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1891395406 | Eimy Aguilar | Nurse Practitioner | 18 Descartes Dr, Lancaster, PA 17603-8861 | 2020-11-01 |
| 1134729775 | Jacqueline A Ouma | Nurse Practitioner | 4530 Clairton Blvd, Pittsburgh, PA 15236-2112 | 2020-10-30 |
| 1932709912 | Sheri Lynn Tittelmayer | Nurse Practitioner | 1012 Rozel Ave, Southampton, PA 18966-4130 | 2020-10-28 |
| 1346849197 | Alexander F Talarico | Nurse Practitioner | 576 Broad St, Emmaus, PA 18049-3856 | 2020-10-22 |
| 1255930129 | Patrick A Foster | Nurse Practitioner | 3332 Eisenbrown Rd, Reading, PA 19605-1412 | 2020-10-22 |
| 1033718051 | Charlene Martin Wolfgang | Nurse Practitioner | 806 Megan Dr, Cranberry Twp, PA 16066-7422 | 2020-10-21 |
| 1750980728 | Jamie Simpson | Nurse Practitioner | 618 Rachelle Ct, Latrobe, PA 15650-4731 | 2020-10-21 |
| 1124627138 | Ashley G Dillard | Nurse Practitioner | 5447 Stanton Ave, Pittsburgh, PA 15206-2518 | 2020-10-21 |
| 1831798867 | Elena Khlobystova | Nurse Practitioner | 16 Carriage House Dr, Southampton, PA 18966-2225 | 2020-10-21 |
| 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.