AUDREY PHILLIPS DANIELS


Address: 712 South Ave, Pittsburgh, PA 15221-2940
Phone: 4122433400

AUDREY PHILLIPS DANIELS (NPI# 1346265956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346265956
Entity Type Individual
Full Name AUDREY PHILLIPS DANIELS
Credential C.R.N.P.
Practice Address 712 South Ave
Pittsburgh
PA 15221-2940
Mailing Address 3015 Hudson Ave
Mc Donald
PA 15057-2247
Practice Telephone 4122433400
Mailing Telephone 7249262866
Enumeration Date 2006-07-13
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
VP004963W PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA CRNP VP004963W 01
PA RN RN235493L 01
PA DEA MD1416521 01

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Office Location

Street Address 712 SOUTH AVE
City PITTSBURGH
State PA
Zip Code 15221-2940

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679513139 Dominic A. Pasqualino Social Worker 712 South Ave, Pittsburgh, PA 15221-2940 2006-06-06
1114400488 Victoria Dey Larussa Counselor 712 South Ave, Pittsburgh, PA 15221-2940 2018-09-12
1205336757 Stephanie Cowles Case Manager/Care Coordinator 712 South Ave, Pittsburgh, PA 15221-2940 2018-02-20
1316457856 Rebecca Williams Counselor 712 South Ave, Pittsburgh, PA 15221-2940 2017-10-11
1558887422 Mary-elizabeth Grimaldi Social Worker 712 South Ave, Pittsburgh, PA 15221-2940 2017-08-22
1316332588 Trina Colbert Registered Nurse 712 South Ave, Pittsburgh, PA 15221-2940 2015-04-03
1316348329 Jessica Bickel Registered Nurse 712 South Ave, Pittsburgh, PA 15221-2940 2014-09-09
1184032849 Paul Boone Social Worker 712 South Ave, Pittsburgh, PA 15221-2940 2014-07-25
1457772956 Veronica Hall Behavioral Analyst 712 South Ave, Pittsburgh, PA 15221-2940 2013-12-31
1871923995 Susan Medved Behavioral Analyst 712 South Ave, Pittsburgh, PA 15221-2940 2013-11-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093198657 Adisa Bomani Branch Specialist/Technologist 7421 Lighthouse Point, Pittsburgh, PA 15221 2015-07-01
1699174920 Jocelyn Zuniga Counselor 221 Pen Avenue, Pittsburgh, PA 15221 2014-08-22
1437583473 Lisa Hudgins-lopez Registered Nurse 807 Wallace Avenue, Hosanna House, Room 402, Pittsburgh, PA 15221 2013-08-27
1881035103 Upmc Community Medicine Inc Internal Medicine 21 Yost Blulevard, Suite 216, Pittsburgh, PA 15221 2013-07-15
1861745648 Jeffrey Salipante Physical Therapist 3 Parkway Center East, 2020 Ardmore Blvd. Suite 295, Forest Hills, PA 15221 2012-10-18
1760731350 Lori Brecko Physical Therapist 301 Meade Street, Wilkinsburg, PA 15221 2012-08-29
1255635926 George Jones Counselor 1416 Traymore Ave, Pittsburgh, PA 15221 2011-01-10
1114236700 Life's Journey Counseling Services Counselor 721 Rebecca Avenue, Sister Thea Bowman Catholic Academy, Wilkinsburg, PA 15221 2010-09-29
1386969186 Justiceworks Youthcare Sc Inc. Community/Behavioral Health 1500 Ardmore Blvd, Suite 410, Pittsburgh, PA 15221 2010-04-05
1194054270 Sara L Affalter Counselor 806 Walnut Street, Pittsburgh, PA 15221 2009-12-18
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184233926 Jessica L Parente Nurse Practitioner 4067 Howley St, Pittsburgh, PA 15224-1439 2020-07-28
1235670399 Heeyoung Lee Nurse Practitioner 4608 Penn Avenue, Pittsburgh, PA 15224-1315 2017-03-09
1356710081 Allison Pavlov Nurse Practitioner 200 Lothrop St Ste 933w, Pittsburgh, PA 15213-2536 2015-09-23
1437555109 Larry J Goisse Nurse Practitioner 6425 Living Pl, Suite 2085, Pittsburgh, PA 15206 2014-11-07
1760798391 Kathi Renee Elliott Nurse Practitioner 5543 Hays St, Pittsburgh, PA 15206-2006 2010-08-19
1992845465 Amy G. Kenny Nurse Practitioner 4416 Penn Ave, Pittsburgh, PA 15224-1312 2007-02-07
1588263354 Sara Hoppe Nurse Practitioner 4100 Allequippa St, Pittsburgh, PA 15240 2020-10-22
1215535331 Tiffani Tatko Nurse Practitioner 1350 Old Freeport Rd Ste 1a, Pittsburgh, PA 15238-3122 2020-10-12
1396357596 Rebekah Lynn Dechicko Nurse Practitioner 5725 Forward Ave Ste 401, Pittsburgh, PA 15217-2255 2020-08-19
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Competitor

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City PITTSBURGH
Zip Code 15221

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Dataset Information

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.

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