JILL DUCLOS (NPI# 1417441502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417441502 |
| Entity Type | Individual |
| Full Name | JILL DUCLOS |
| Other Name | JILL DUCLOS |
| Credential | RN MSN |
| Practice Address |
500 E Chestnut Ave Altoona PA 16601-5215 |
| Practice Telephone | 8149430414 |
| Mailing Telephone | 8149430414 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN527484L | PA | Nursing Service Providers |
| Street Address |
500 E CHESTNUT AVE |
| City | ALTOONA |
| State | PA |
| Zip Code | 16601-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790856656 | Upmc Behavioral Health of The Alleghenies | Community/Behavioral Health | 500 E Chestnut Ave, Adult Partial Program, Altoona, PA 16601-5215 | 2006-11-13 |
| 1588294052 | Brenda Marie Sanner | Social Worker | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2020-01-23 |
| 1619515566 | Lynette Renee Matley | Case Manager/Care Coordinator | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-12-11 |
| 1841832276 | Keith Lewis Shawley | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-10-17 |
| 1659928869 | Thomas Lee Plummer | Peer Specialist | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-08-22 |
| 1528614252 | Jennie Anne White | Case Manager/Care Coordinator | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-08-19 |
| 1396302543 | Allison Friday | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-05-23 |
| 1033677547 | Jamie Alyssa Focht | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-03-05 |
| 1598222804 | Crystal Kay Grant | Social Worker | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-02-22 |
| 1457824336 | Caroline Flegal | Peer Specialist | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2019-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
| 1114574787 | Neil Pietrolungo | Counselor | 1216 11th Avenue, St. 215, Altoona, PA 16601 | 2019-08-19 |
| 1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
| 1669932141 | Edmiston Physical Therapy Co | Physical Therapist | 2927 Beale Ave. Suite E101, Altoona, PA 16601 | 2019-03-21 |
| 1871052407 | Ji Won Lee | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2019-03-13 |
| 1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
| 1679063655 | Sarah Ann Bier | Registered Nurse | 2900 Plank Rd, Altoona, PA 16601 | 2018-05-15 |
| 1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
| 1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
| 1386082485 | Zachary Charles Haulman | Physical Medicine & Rehabilitation | 2900 Beale Ave Ste 110, Altoona, PA 16601 | 2013-06-11 |
| Find all providers in zip 16601 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932685260 | Tammy Sanders | Registered Nurse | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2018-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346864105 | Amanda Jo Keffer | Registered Nurse | 615 E Mcmurray Rd Ste 1, Mc Murray, PA 15317-3497 | 2020-06-07 |
| 1437783545 | Brad Michael Burns | Registered Nurse | 49 Kendall Ave, Pittsburgh, PA 15202-3930 | 2020-02-27 |
| 1558904813 | Joseph Richard Gagnon Jr. | Registered Nurse | 3774 Ridge Pike Rear 2, Collegeville, PA 19426-3153 | 2019-10-18 |
| 1184270787 | Raeann Carter | Registered Nurse | 100 N Bellefield Ave Rm 417, Pittsburgh, PA 15213-2600 | 2019-08-11 |
| 1023580644 | Summer C Alonso | Registered Nurse | 10 E 6th Ave Ste 200, Conshohocken, PA 19428-1784 | 2018-12-20 |
| 1902375116 | Ezioma C Onwukanjo | Registered Nurse | 215 Hunter Creek Dr, York, PA 17406-6022 | 2018-11-16 |
| 1467944199 | Jacquelyn Marie Thayer | Registered Nurse | 2006 Bainbridge St Apt 2f, Philadelphia, PA 19146-1373 | 2018-05-30 |
| 1962911958 | Deborah Marie Terchanik | Registered Nurse | 313 W High St Ste 211, Ebensburg, PA 15931-1549 | 2017-09-22 |
| 1528514080 | Margaret Shepard | Registered Nurse | 12 E Princeton Rd, Bala Cynwyd, PA 19004-2241 | 2016-08-25 |
| 1861840498 | Heather Case | Registered Nurse | 248 Lemoyne Ave, Pittsburgh, PA 15228-2262 | 2016-05-24 |
| Find all providers with the same taxonomy | ||||
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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.