KAITLAND NICOLE DETWILER (NPI# 1215459359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215459359 |
| Entity Type | Individual |
| Full Name | KAITLAND NICOLE DETWILER |
| Credential | CRNP |
| Practice Address |
126 E Church St Somerset PA 15501-2271 |
| Mailing Address |
329 S Pleasant Ave Somerset PA 15501-2262 |
| Practice Telephone | 8144457101 |
| Practice Fax Number | 8144457688 |
| Mailing Telephone | 8144453575 |
| Mailing Fax Number | 8144455700 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2018-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP017829 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN655082 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015083500027 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 002023534 | 01 |
| PA | RAILROAD MEDICARE | CI6140 | 01 |
| PA | MEDICARE | 710929 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 225 S Center Ave, Somerset, PA 155012033 | 8144435000 |
| Street Address |
126 E CHURCH ST |
| City | SOMERSET |
| State | PA |
| Zip Code | 15501-2271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700871985 | Charles E Camacho | Obstetrics & Gynecology | 126 E Church St, Suite 3100, Somerset, PA 15501-2271 | 2005-09-14 |
| 1902462781 | Amy Eckman | Specialist/Technologist | 126 E Church St, Somerset, PA 15501-2271 | 2019-05-16 |
| 1760999395 | Somerset Health Services, Inc. | Internal Medicine | 126 E Church St, Somerset, PA 15501-2271 | 2018-01-04 |
| 1588109755 | Chad A Workman | Physician Assistant | 126 E Church St, Suite 2100, Somerset, PA 15501-2271 | 2016-12-27 |
| 1912284050 | Faye M Girdany | Nurse Practitioner | 126 E Church St, Suite 2200, Somerset, PA 15501-2271 | 2011-11-03 |
| 1841509387 | Somerset Health Services, Inc. | Pain Medicine | 126 E Church St, Somerset, PA 15501-2271 | 2010-10-01 |
| 1326209768 | Somerset Health Services Inc | Surgery | 126 E Church St, Suite 2100, Somerset, PA 15501-2271 | 2008-06-18 |
| 1700095072 | Darrell Rubin | Internal Medicine | 126 E Church St, Suite 2400, Somerset, PA 15501-2271 | 2007-05-22 |
| 1053332627 | Jayesh B Desai | Internal Medicine | 126 E Church St, Suite 3200, Somerset, PA 15501-2271 | 2006-07-21 |
| 1649200635 | V. Krishnan Nair | Internal Medicine | 126 E Church St, Suite 2400, Somerset, PA 15501-2271 | 2006-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083108559 | Jeffrey G. Carberry, Dmd, PC | Dentist | 203 E. Patriot St., Suite 200, Somerset, PA 15501 | 2018-06-19 |
| 1437666062 | Area Agency On Aging of Somerset County | Home Delivered Meals | 1338 South Edgewood Avenue, Somerset, PA 15501 | 2018-01-04 |
| 1982131157 | Zachary James Ankney | Family Medicine | 329 S. Pleasant Ave., Somerset, PA 15501 | 2017-05-17 |
| 1013382142 | Susan Kimmel | Counselor | Georgian Place, Suite 309, Somerset, PA 15501 | 2015-12-01 |
| 1659759850 | Mohammed Abuzar Khan | Internal Medicine | 225 S Center Avenue Somerset Hospital, Somerset, PA 15501 | 2015-05-08 |
| 1649586991 | Kathryn Relampagos Trinidad | Family Medicine | 329 S. Pleasant Avenue, Somerset, PA 15501 | 2010-08-25 |
| 1063643856 | Jacob Wayne Shipley | Anesthesiology | 126 E Church St Ste 2400, Somerset, PA 15501 | 2009-07-28 |
| 1811141823 | Orthopedic & Sports Physical Therapy Associates, Inc. | Durable Medical Equipment & Medical Supplies | 223 S. Pleasant Ave, Suite 301, Somerset, PA 15501 | 2008-11-05 |
| 1720256480 | Antoinette L Botti Od | Optometrist | 134 West Main St, Somerset, PA 15501 | 2008-02-15 |
| 1558561654 | Bedford-somerset Developmental and Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 668 Rear East Main Street, Somerset, PA 15501 | 2007-07-18 |
| Find all providers in zip 15501 | ||||
| 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 |
|---|---|---|---|---|
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1962867325 | Tommie Lee Fields | Nurse Practitioner | 2520 S Highway 27 Ste 1, Somerset, KY 42501-3055 | 2015-12-29 |
| 1306219233 | Kimberly Rose Robinson | Nurse Practitioner | 643 Woods Edge Dr, Somerset, KY 42503-5606 | 2015-10-30 |
| 1205215696 | Marlene Carey | Nurse Practitioner | 4 Cheddar Pl, Somerset, NJ 08873-4749 | 2015-05-19 |
| 1164838512 | Dlp Conemaugh Physician Practices LLC | Nurse Practitioner | 1291 N Center Ave, Somerset, PA 15501-1630 | 2014-07-07 |
| 1558620393 | Eshban Muthuka | Nurse Practitioner | 170 Park St, Somerset, NJ 08873-2534 | 2012-05-14 |
| 1902104060 | Tammy R Keating | Nurse Practitioner | 126 E Church St Ste 3400, Somerset, PA 15501-2271 | 2011-03-14 |
| 1306076443 | Lisa Marcum | Nurse Practitioner | 143 Bogle Office Park Dr, Suite A, Somerset, KY 42503-2810 | 2009-07-23 |
| 1255516969 | Carolyn Hare | Nurse Practitioner | 321 Ringgold Rd, Somerset, KY 42503-3900 | 2008-01-02 |
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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.