THERESA M CARLUCCI (NPI# 1174922058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174922058 |
| Entity Type | Individual |
| Full Name | THERESA M CARLUCCI |
| Credential | CRNP |
| Practice Address |
1339 W 6th St Erie PA 16505-2503 |
| Practice Telephone | 8148778170 |
| Practice Fax Number | 8148778175 |
| Mailing Telephone | 8148778170 |
| Mailing Fax Number | 8148778175 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP014151 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1339 W 6TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16505-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184615049 | Michele L Polon | Family Medicine | 1339 W 6th St, Erie, PA 16505-2503 | 2005-10-31 |
| 1730738592 | Jenaye K Baker | Physician Assistant | 1339 W 6th St, Erie, PA 16505-2503 | 2019-09-05 |
| 1003136110 | Regional Health Services, Inc. | Clinical Medical Laboratory | 1339 W 6th St, Erie, PA 16505-2503 | 2010-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619715 | Jonathan Thomas | Nurse Practitioner | 1419 Flannagan Ct, Erie, CO 80516-6941 | 2020-11-08 |
| 1255957833 | Nathan Stuart Kerr | Nurse Practitioner | 5043 Peach St, Erie, PA 16509-2032 | 2020-06-19 |
| 1639701428 | Tammy Lynn Black | Nurse Practitioner | 2323 Edinboro Rd, Erie, PA 16509-3476 | 2020-02-10 |
| 1104460518 | Elena Kovalevich | Nurse Practitioner | 333 State St Ste 102, Erie, PA 16507-1466 | 2019-10-30 |
| 1699333419 | Nicole Elizabeth Zmijewski | Nurse Practitioner | 2090 Matty Dr, Erie, MI 48133-9370 | 2019-06-05 |
| 1104390368 | Liqin Zhang | Nurse Practitioner | 1163 Mircos St, Erie, CO 80516-5408 | 2019-01-21 |
| 1003390444 | Tatyana Kryachkov | Nurse Practitioner | 3250 W Lake Rd., Suite 2, Erie, PA 16505-3691 | 2018-09-21 |
| 1487134664 | Jennifer Bechard Marshall | Nurse Practitioner | 411 Pleades Pl, Erie, CO 80516-2568 | 2018-08-17 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1619414331 | Chad Burns | Nurse Practitioner | 3002 W 11th St, Erie, PA 16505-3904 | 2017-01-20 |
| Find all providers in ERIE | ||||
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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.