BONITA G WARDLE ROCHE (NPI# 1548339625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548339625 |
| Entity Type | Individual |
| Full Name | BONITA G WARDLE ROCHE |
| Other Name | BONITA G ROCHE |
| Credential | CRNP |
| Practice Address |
100 New Salem Rd Uniontown PA 15401-8936 |
| Practice Telephone | 7244370729 |
| Practice Fax Number | 7244372761 |
| Mailing Telephone | 7244370729 |
| Mailing Fax Number | 7244372761 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
VP000164F | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1009799060001 | 05 |
| Street Address |
100 NEW SALEM RD |
| City | UNIONTOWN |
| State | PA |
| Zip Code | 15401-8936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851372403 | Fayette Co. Drug & Alcohol Commission, Inc. | Counselor | 100 New Salem Rd, Suite 106, Uniontown, PA 15401-8936 | 2005-11-10 |
| 1043746381 | Chelsea Guerra | Counselor | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2017-05-05 |
| 1093246217 | Kelly Sampson | Counselor | 100 New Salem Rd, Suite 106, Uniontown, PA 15401-8936 | 2017-03-21 |
| 1366982423 | Brittany Mitchell | Counselor | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2017-03-08 |
| 1093259277 | David Michalak | Counselor | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2016-12-07 |
| 1184175747 | Jodilyn Golnik | Counselor | 100 New Salem Rd, Suite 116, Uniontown, PA 15401 | 2016-10-19 |
| 1306397351 | Matthew Dean | Counselor | 100 New Salem Rd, Suite 106, Uniontown, PA 15401-8936 | 2016-10-14 |
| 1194274977 | Kayla Mazzoni | Counselor | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2016-09-22 |
| 1093263246 | Teri Martin | Counselor | 100 New Salem Rd, Suite 106, Uniontown, PA 15401-8936 | 2016-09-16 |
| 1952752636 | Lamar Hill | Counselor | 100 New Salem Rd, Suite 106, Uniontown, PA 15401-8936 | 2016-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541808 | Kevin C Kutchman | Physical Medicine & Rehabilitation | 15 Morgantown Street, Uniontown, PA 15401 | 2019-07-28 |
| 1316502958 | Rosalia Friess | Occupational Therapist | 147 Lafayette Street, Uniontown, PA 15401 | 2019-05-09 |
| 1801369012 | Jill Cristen Bellush | Occupational Therapy Assistant | Lafayette Manor, Inc, 147 Lafayette Manor Road, Uniontown, PA 15401 | 2019-01-10 |
| 1679054183 | Wellness Recovery LLC | Counselor | 9-11 Veech St., Uniontown, PA 15401 | 2018-08-23 |
| 1851802185 | Young Men's Christian Association of Uniontown | Health Educator | One Ymca Drive, Uniontown, PA 15401 | 2017-10-13 |
| 1942730759 | Michele Dice | Social Worker | 89 W. Fayette Street, Uniontown, PA 15401 | 2017-06-14 |
| 1427593425 | Revital Metro | Counselor | 1203 Pittsburgh Road, Suite 101, Uniontown, PA 15401 | 2016-12-29 |
| 1366987729 | Michelle Carolla | Physician Assistant | 141 Wayland Smith Drive, Uniontown, PA 15401 | 2016-12-21 |
| 1558805176 | Samantha Helmantoler | Counselor | 1023 Pittsburgh Road, Uniontown, PA 15401 | 2016-12-16 |
| 1639527351 | Fayette Resources, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Millennium Drive Suite 2, Uniontown, PA 15401 | 2016-06-03 |
| Find all providers in zip 15401 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1548875875 | Marisa Savic | Nurse Practitioner | 1 Medical Center Blvd Ste 407, Chester, PA 19013-3902 | 2020-09-14 |
| 1972117976 | Matthew Hunter | Nurse Practitioner | 728 Westerly Pkwy, State College, PA 16801-4226 | 2020-09-07 |
| 1801400817 | Monarch Psychiatric Services, P.C. | Nurse Practitioner | 103 N Gilpin St Ste 306, Punxsutawney, PA 15767-2055 | 2020-09-07 |
| 1154934412 | Ashley Scott Foster | Nurse Practitioner | 1701 Timberidge Dr, Bethel Park, PA 15102-4043 | 2020-08-26 |
| 1699385146 | Renee Lucci | Nurse Practitioner | 15 Douglas St, Ambler, PA 19002-4941 | 2020-08-08 |
| 1184233660 | Care Therapy | Nurse Practitioner | 610 Pittsburgh St, Scottdale, PA 15683-1651 | 2020-07-30 |
| 1184233926 | Jessica L Parente | Nurse Practitioner | 4067 Howley St, Pittsburgh, PA 15224-1439 | 2020-07-28 |
| 1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
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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.