TANYA WEIDNER (NPI# 1295377596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295377596 |
| Entity Type | Individual |
| Full Name | TANYA WEIDNER |
| Other Name | TANYA RABENOLD |
| Practice Address |
1240 S Cedar Crest Blvd Ste 401 Allentown PA 18103-6218 |
| Mailing Address |
1605 N Cedar Crest Blvd Ste 411 Allentown PA 18104-2323 |
| Practice Telephone | 6104023650 |
| Practice Fax Number | 6104023673 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4846647659 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP020902 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1240 S CEDAR CREST BLVD STE 401 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730140559 | Simi M Masand Rai | Internal Medicine | 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103-6218 | 2006-03-31 |
| 1417514597 | Stephanie M Gehret | Nurse Practitioner | 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103-6218 | 2019-05-23 |
| 1740751155 | Anastasia Filippova | Nurse Practitioner | 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103-6218 | 2018-12-10 |
| 1578078176 | Nicole Kash | Nurse Practitioner | 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103-6218 | 2017-12-06 |
| 1689196974 | Emily Nehme | Physician Assistant | 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103-6218 | 2017-07-09 |
| 1831629484 | Anita Fei | Internal Medicine | 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103-6218 | 2017-06-15 |
| 1417301995 | Ryan Joseph Mayo | Internal Medicine | 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103-6218 | 2016-04-20 |
| 1790148757 | Danielle Marie Mitch | Physician Assistant | 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103-6218 | 2016-03-29 |
| 1144605254 | Michele C Yadush | Physician Assistant | 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103-6218 | 2015-07-30 |
| 1164809547 | Zachary Wolfe | Internal Medicine | 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103 | 2015-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635610 | Chun Du | Nurse Practitioner | 7535 Windsor Dr Ste B100, Allentown, PA 18195-1038 | 2020-09-28 |
| 1629683248 | Krystle Fulton | Nurse Practitioner | 7535 Windsor Dr # 100, Allentown, PA 18195-1014 | 2020-09-10 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1629531108 | Khadian Smith | Nurse Practitioner | 7248 Tilghman St Ste 160, Allentown, PA 18106-9562 | 2019-04-10 |
| 1326502774 | Alexander Anthony Morris | Nurse Practitioner | 780 N Krocks Rd # 101, Allentown, PA 18106-9075 | 2019-01-29 |
| 1609384908 | Elijah Kimutai Chumo | Nurse Practitioner | 920 Beverly Dr, Allentown, PA 18103-3724 | 2018-01-21 |
| 1871004598 | Danielle A Garzillo | Nurse Practitioner | 3050 Hamilton Blvd Ste 100, Allentown, PA 18103-3691 | 2017-10-20 |
| 1992216758 | Stephanie Grace Frederick | Nurse Practitioner | 450 Chew St Ste 202, Allentown, PA 18102-3434 | 2017-10-19 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1487191045 | Kathleen Baldwin | Nurse Practitioner | 1240 S Cedar Crest Blvd Ste 2800, Allentown, PA 18103-6369 | 2017-01-20 |
| Find all providers in ALLENTOWN | ||||
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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.