MRS. TIFFANY D. PELLATHY (NPI# 1558436774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558436774 |
Entity Type | Individual |
Full Name | MRS. TIFFANY D. PELLATHY |
Other Name | MRS. TIFFANY D. PURCELL |
Credential | CRNP |
Practice Address |
3000 Village Run Rd Bldg. 103-202 Wexford PA 15090-6315 |
Practice Telephone | 4128679585 |
Mailing Telephone | 4128679585 |
Enumeration Date | 2006-11-22 |
Last Update Date | 2011-01-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AM0700X |
Physician Assistant Specialization: Medical |
AC000410 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AC000410 | MD | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 415096100 | 05 |
Street Address |
3000 VILLAGE RUN RD BLDG. 103-202 |
City | WEXFORD |
State | PA |
Zip Code | 15090-6315 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
1760989115 | Kerry L Vaughn | Nurse Practitioner | 12311 Perry Hwy Fl 1, Wexford, PA 15090 | 2018-04-11 |
1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
Find all providers in zip 15090 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
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1972117687 | Christopher Brian Cox | Nurse Practitioner | 4527 Kingsessing Ave Fl 1, Philadelphia, PA 19143-3712 | 2020-09-01 |
1700499969 | Maliha Amjed | Nurse Practitioner | 261 Old York Rd Ste 724, Jenkintown, PA 19046-3725 | 2020-08-27 |
1821606989 | Tony George | Nurse Practitioner | 1228 Meinel Rd, Huntingdon Valley, PA 19006-8412 | 2020-07-15 |
1780292854 | Malroney Mclean | Nurse Practitioner | 5300 Birney Hwy, Aston, PA 19014-1597 | 2020-07-15 |
1093336174 | Abdul Rahman Sesay | Nurse Practitioner | 741 Sharon Ave, Collingdale, PA 19023-3531 | 2020-04-30 |
1053949081 | Anna Sorci | Nurse Practitioner | 5401 Old York Rd # Klein300, Philadelphia, PA 19141-3030 | 2020-03-27 |
1235777863 | Kari Flynn | Nurse Practitioner | 255 W Lancaster Ave Ste 124, Paoli, PA 19301-1764 | 2019-12-13 |
1972149839 | Andrea Rivera Rodriguez | Nurse Practitioner | 1250 S Cedar Crest Blvd # 250, Allentown, PA 18103-6224 | 2019-11-25 |
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.