ALIA ALYN YESALAVAGE (NPI# 1508019555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508019555 |
| Entity Type | Individual |
| Full Name | ALIA ALYN YESALAVAGE |
| Credential | C.R.N.P. |
| Practice Address |
150 Mundy St Mac Iv Building Wilkes Barre PA 18702-6830 |
| Mailing Address |
47 Rockledge Dr Mountain Top PA 18707-1953 |
| Practice Telephone | 5708240930 |
| Practice Fax Number | 5708247755 |
| Mailing Telephone | 5704742126 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2009-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP010019 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
150 MUNDY ST MAC IV BUILDING |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18702-6830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934088 | John Heinz Institute of Rehabilitation Medicine | Rehabilitation Hospital | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2005-07-07 |
| 1396359253 | Daniel Joseph Satterfield | Nurse Practitioner | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2020-09-08 |
| 1811508393 | Rheumatology & Arthritis Center of Wyoming Valley LLC | Internal Medicine | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2020-08-10 |
| 1821644360 | Grace Johna Olshefski | Nurse Practitioner | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2019-08-12 |
| 1740757822 | Jacqueline Pearson | Physical Therapist | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2018-10-27 |
| 1336639731 | North East Sleep Testing Center LLC | Clinic/Center | 150 Mundy St, Mac Iv Building, Wilkes Barre, PA 18702 | 2018-05-11 |
| 1366982266 | Caitlin Mesko | Physician Assistant | 150 Mundy St, Mac Iv Building, Wilkes Barre, PA 18702-6830 | 2017-02-27 |
| 1275076432 | Laura Decker | Massage Therapist | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2016-11-21 |
| 1992180004 | Allied Health Care Services | Community/Behavioral Health | 150 Mundy St, Mac Iv Building, Wilkes Barre, PA 18702-6830 | 2015-07-30 |
| 1548648975 | Joseph Dzurishin | Specialist | 150 Mundy St, Wilkes Barre, PA 18702-6830 | 2015-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043778236 | Jill Nicole Stahl | Nurse Practitioner | 677 Kidder St, Wilkes Barre, PA 18702-6908 | 2019-03-06 |
| 1306351028 | Nicole Lyn Dominick | Nurse Practitioner | 1130 Highway 315 Blvd Ste 4, Wilkes Barre, PA 18702-6952 | 2017-12-04 |
| 1578089884 | Jamie Lynn Konschnik | Nurse Practitioner | 1620 Highway 315 Blvd, Wilkes Barre, PA 18702-7125 | 2017-08-17 |
| 1437165305 | Tara Ann Allissa Cywinski | Nurse Practitioner | 545 River Street, 220, Wilkes Barre, PA 18702 | 2006-07-31 |
| 1588612246 | Deborah L. Torres | Nurse Practitioner | 15 Public Sq Ste 600, Wilkes Barre, PA 18701-1704 | 2006-05-05 |
| 1801889514 | Richard Edward Bunton | Nurse Practitioner | 6 Wildflower Dr., Wilkes Barre, PA 18702-3813 | 2005-08-27 |
| 1336759984 | Deanne Angela Walters | Nurse Practitioner | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2020-08-07 |
| 1497387062 | Brittany Natassia Shipula | Nurse Practitioner | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-02-11 |
| 1316583818 | Donna L Menig | Nurse Practitioner | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2019-11-20 |
| 1295382554 | Carol Teets | Nurse Practitioner | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2019-08-21 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18702 |
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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.