CRESTINA RODRIGUES (NPI# 1407117005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407117005 |
| Entity Type | Individual |
| Full Name | CRESTINA RODRIGUES |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1048 W Baltimore Pike Media PA 19063-6300 |
| Practice Telephone | 4842273217 |
| Mailing Telephone | 4842273217 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP012033 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1048 W BALTIMORE PIKE |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570196 | Riddle Village | Skilled Nursing Facility | 1048 W Baltimore Pike, Media, PA 19063-5149 | 2005-06-30 |
| 1699398552 | Adriana Piscitelli | Occupational Therapist | 1048 W Baltimore Pike, Media, PA 19063-5168 | 2020-05-26 |
| 1740762251 | Michele Dangerfield | Physical Therapy Assistant | 1048 W Baltimore Pike, Media, PA 19063-6300 | 2018-08-30 |
| 1144702861 | Saurin Jain | Physical Medicine & Rehabilitation | 1048 W Baltimore Pike, Media, PA 19063-6300 | 2018-08-29 |
| 1457833253 | Michelle Chodosh | Occupational Therapist | 1048 W Baltimore Pike, Media, PA 19063-5168 | 2018-08-29 |
| 1508348269 | Kaitlin Marie Ensulo | Occupational Therapist | 1048 W Baltimore Pike, Media, PA 19063-6300 | 2018-08-29 |
| 1952882797 | Courtney Zeuner | Speech-Language Pathologist | 1048 W Baltimore Pike, Media, PA 19063-6300 | 2018-08-28 |
| 1083110472 | Ranisha Nelson | Speech-Language Pathologist | 1048 W Baltimore Pike, Media, PA 19063-6300 | 2018-04-04 |
| 1295193936 | Houman Ziai | Occupational Therapist | 1048 W Baltimore Pike, Media, PA 19063-5149 | 2016-02-09 |
| 1861875098 | Cathy Griglione | Skilled Nursing Facility | 1048 W Baltimore Pike, Media, PA 19063-5149 | 2015-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114476207 | Kerry Ann Loughran Loughran | Nurse Practitioner | 200 E State St Ste 100, Media, PA 19063-3434 | 2016-09-29 |
| 1215969530 | Kathleen Borsa Malone | Nurse Practitioner | 605 W State Street, Media, PA 19063 | 2006-07-07 |
| 1972574788 | M. Elayne Desimone | Nurse Practitioner | 900 Winding Ln, Media, PA 19063-1656 | 2006-01-30 |
| 1316307960 | Sandra Mueller | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2016-02-24 |
| 1417316878 | Anne L Barton | Nurse Practitioner | 1088 W Baltimore Pike, Suite 2104 Health Center 2, Media, PA 19063-5146 | 2016-02-14 |
| 1043636301 | Phuong Ngo | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2014-03-11 |
| 1215368667 | Lisa Cilia | Nurse Practitioner | 1088 W Baltimore Pike, Health Center 2, Suite 2500, Media, PA 19063-5146 | 2013-12-11 |
| 1629200191 | Deborah Moehrle | Nurse Practitioner | 110 Chesley Dr, Media, PA 19063-1755 | 2009-08-18 |
| 1750588927 | Desales Foster | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2007-06-29 |
| 1033122494 | Janeen A Franz | Nurse Practitioner | 1088 W Baltimore Pike, Suite 2500, Media, PA 19063-5146 | 2006-08-15 |
| Find all providers in MEDIA | ||||
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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.