KRISTIN NICOLE LATESSA (NPI# 1417519356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417519356 |
| Entity Type | Individual |
| Full Name | KRISTIN NICOLE LATESSA |
| Credential | PA-C |
| Practice Address |
2315 Myrtle St Ste L90 Erie PA 16502-4607 |
| Practice Telephone | 8144527575 |
| Practice Fax Number | 8144527574 |
| Mailing Telephone | 8144527575 |
| Mailing Fax Number | 8144527574 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA060829 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 14551063 | 01 | |
| PA | 103686710 | 05 |
| Street Address |
2315 MYRTLE ST STE L90 |
| City | ERIE |
| State | PA |
| Zip Code | 16502-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286699 | Phillip V Mcallister | Neurological Surgery | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2005-06-24 |
| 1902446248 | Timothy Martin Carroll | Nurse Practitioner | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2020-01-15 |
| 1861944050 | Kaitlyn M Leone | Nurse Practitioner | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2016-11-04 |
| 1275937898 | Kaitlyn Ferguson | Physician Assistant | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2014-10-09 |
| 1912326521 | Harshit Shah | Psychiatry & Neurology | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2014-04-10 |
| 1700940277 | Hasan Askari | Psychiatry & Neurology | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2006-12-20 |
| 1154343218 | Arturo Camacho | Neurological Surgery | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2006-07-24 |
| 1477531630 | Daniel J Muccio | Neurological Surgery | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2006-01-06 |
| 1043205214 | Leonard J. Leone | Psychiatry & Neurology | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
| Find all providers in zip 16502 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932710944 | Anthony Joseph Daurora Jr. | Physician Assistant | 2701 Auburn St, Erie, PA 16508-1311 | 2020-08-12 |
| 1093217762 | Asl Precision Assist, LLC | Physician Assistant | 2501 W 12th St # 621, Erie, PA 16505-4527 | 2018-03-08 |
| 1316223183 | Aaron H Kleps | Physician Assistant | 201 State St Fl 8, Erie, PA 16550-0002 | 2011-10-25 |
| 1245423920 | Victoria Renee Piggott | Physician Assistant | 3720 West 26th St, Erie, PA 16506 | 2007-08-25 |
| 1740378793 | Kelly C Amenta | Physician Assistant | 2315 Myrtle St Ste 120, Erie, PA 16502-4602 | 2006-10-11 |
| 1386742971 | Michael Paul Fitzgerald | Physician Assistant | 135 East 38 Th, Erie, PA 16504 | 2006-09-20 |
| 1518924208 | Heather L Szymczak | Physician Assistant | 2374 Village Common Dr Ste 100, Erie, PA 16506-7201 | 2006-04-27 |
| 1033170469 | Marcie L Fitzgerald | Physician Assistant | 1645 West 8th Street, Shriners Hospitals for Children Erie, Erie, PA 16505-5097 | 2006-03-28 |
| 1871571000 | Pamela Jane Yuskovic | Physician Assistant | 3822 Schaper Avenue, Erie, PA 16508-3360 | 2006-01-06 |
| 1164420519 | Heather P Adams | Physician Assistant | 2315 Myrtle St, Suite220, Erie, PA 16502-4602 | 2005-07-11 |
| Find all providers in ERIE | ||||
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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.