MISERICORDIA UNIVERSITY (NPI# 1366911620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366911620 |
| Entity Type | Organization |
| Organization Name | MISERICORDIA UNIVERSITY |
| Practice Address |
301 Lake St Dallas PA 18612-7752 |
| Practice Telephone | 5706746432 |
| Practice Fax Number | 5706743062 |
| Mailing Telephone | 5706746432 |
| Mailing Fax Number | 5706743062 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-29 |
| Authorized Official Name | SANDRA J. FEDERO (NURSE PRACTITIONER/DIRECTOR) |
| Authorized Official Telephone | 5706746432 |
| Authorized Official Credential | DNP, CRNP-BC |
| Is Organization Subpart | Y |
| Parent Organization Name | MISERICORDIA UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MISERICORDIA UNIVERSITY | 301 Lake St, Dallas, PA 18612-1090 |
| Street Address |
301 LAKE ST |
| City | DALLAS |
| State | PA |
| Zip Code | 18612-7752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649264672 | Mercy Center Nursing Unit | Skilled Nursing Facility | 301 Lake St, Dallas, PA 18612-7752 | 2005-09-06 |
| 1164085254 | Kristina Mary Ruby | Physical Therapist | 301 Lake St, Dallas, PA 18612-7752 | 2019-04-15 |
| 1972052181 | Erin Roberts | Speech-Language Pathologist | 301 Lake St, Dallas, PA 18612-7752 | 2016-09-28 |
| 1326413923 | Kylie Ann Cox | Speech-Language Pathologist | 301 Lake St, Mercy Center, Dallas, PA 18612-7752 | 2015-12-08 |
| 1205207784 | Natalie Lynn Fox | Occupational Therapy Assistant | 301 Lake St, Dallas, PA 18612-7752 | 2015-10-09 |
| 1306229802 | Kimberly Anne Hartman | Speech-Language Pathologist | 301 Lake St, Dallas, PA 18612-7752 | 2015-07-01 |
| 1679984074 | Marisa Irizarry | Speech-Language Pathologist | 301 Lake St, Dallas, PA 18612-7752 | 2014-05-19 |
| 1083025936 | Genesis Eldercare Rehabilitation Services, Inc | Clinic/Center | 301 Lake St, Dallas, PA 18612-7752 | 2014-05-14 |
| 1912201880 | Heather Siskovich | Physical Therapist | 301 Lake St, Mercy Center, Dallas, PA 18612-1008 | 2011-01-06 |
| 1013221498 | Misericordia University Speech-language and Hearing Center | Early Intervention Provider Agency | 301 Lake St, Dallas, PA 18612-1008 | 2010-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487009882 | Jacqueline Patricia O'brien | Occupational Therapist | 345 Lake Louise Rd, Dallas, PA 18612 | 2016-05-04 |
| 1164772927 | Katie M Ferguson | Pharmacist | 26 Dallas Shopping Center Memorial Highway, Dallas, PA 18612 | 2012-09-19 |
| 1619235892 | Crista Zern | Physical Therapist | 4 East Center Hill Road, Dallas, PA 18612 | 2012-04-25 |
| 1336423631 | Angela Mary Evans | Nurse Practitioner | 301 Lake Street, Misericordia University's Health & Wellness Center, Dallas, PA 18612 | 2011-10-05 |
| 1376835868 | Peter Frederick Casterline | Surgery | 5 Old Well Lane, Dallas, PA 18612 | 2011-05-03 |
| 1336386051 | Judy A Williams | Speech-Language Pathologist | 368 Tioga Avenue, Kingston, PA 18612 | 2009-01-16 |
| 1013195015 | Joseph John Kowalski | Psychiatry & Neurology | 2 Birch Hill Lane, Dallas, PA 18612 | 2008-02-01 |
| 1063621233 | Back Mountain Pediatrics | Clinical Medical Laboratory | 550 Memorial Highway, Dallas, PA 18612 | 2007-05-22 |
| 1760699177 | Leonard M Evans | Internal Medicine | 1806 Country Club Apartments, Dallas, PA 18612 | 2007-05-16 |
| 1417170549 | Clem-mar House, Inc. | Substance Abuse Rehabilitation Facility | 2860 State Route 309, Dallas, PA 18612 | 2007-04-10 |
| Find all providers in zip 18612 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1699376723 | David James Wainwright | Nurse Practitioner | 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 | 2020-11-04 |
| 1528668860 | Nicole Chadwick | Nurse Practitioner | 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 | 2020-10-27 |
| 1952901415 | Melissa Green | Nurse Practitioner | 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 | 2020-10-26 |
| 1194324640 | Busola Stella Amurawaiye | Nurse Practitioner | 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 | 2020-10-25 |
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1689288276 | Chinyere Ezeh | Nurse Practitioner | 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 | 2020-09-01 |
| 1992317341 | Modern Enhancement | Nurse Practitioner | 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 | 2020-08-18 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1528678083 | Esther Siriba | Nurse Practitioner | 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 | 2020-08-08 |
| Find all providers in DALLAS | ||||
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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.