AUDELIA STOUTAMIRE


Address: 1500 Fifth Ave, Mckeesport, PA 15132-2422
Phone: 4126642314

AUDELIA STOUTAMIRE (NPI# 1578021234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578021234
Entity Type Individual
Full Name AUDELIA STOUTAMIRE
Credential CRNP
Practice Address 1500 Fifth Ave
Mckeesport
PA 15132-2422
Mailing Address 929 Gary Ave
Clairton
PA 15025-1107
Practice Telephone 4126642314
Mailing Telephone 4123702739
Enumeration Date 2019-03-12
Last Update Date 2019-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
SP019980 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1500 FIFTH AVE
City MCKEESPORT
State PA
Zip Code 15132-2422

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285842641 Regina Marie Ferri Specialist 1500 Fifth Ave, Mckeesport, PA 15132-2422 2007-05-18
1437616828 Rachel Kim Physical Therapist 1500 Fifth Ave, Mckeesport, PA 15132-2422 2019-02-21
1033620745 Rebecca Jill Morcheid Pharmacist 1500 Fifth Ave, Mckeesport, PA 15132-2422 2017-10-20
1265941801 Ziad Simon Fawaz Radiology 1500 Fifth Ave, Mckeesport, PA 15132-2422 2017-09-27
1912428764 Aamir Khan Internal Medicine 1500 Fifth Ave, Mckeesport, PA 15132-2422 2017-07-02
1275054082 Changgi Jung Student in an Organized Health Care Education/Training Program 1500 Fifth Ave, Mckeesport, PA 15132-2422 2017-06-30
1437698115 Julie Klabnik Pharmacist 1500 Fifth Ave, Mckeesport, PA 15132-2422 2017-02-15
1316499114 Diana Lutz Nurse Anesthetist, Certified Registered 1500 Fifth Ave, Mckeesport, PA 15132-2422 2016-10-27
1225581002 Don Mathew Internal Medicine 1500 Fifth Ave, Upmc Mckeesport Internal Medicine Center, Mckeesport, PA 15132-2422 2016-07-28
1225481088 Taimoor Adnan Internal Medicine 1500 Fifth Ave, 1st Floor Kelly Building, Mckeesport, PA 15132-2422 2016-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508484163 Hetal Ramesh Boricha Student in an Organized Health Care Education/Training Program 1521 Fifth Avenue, Suite 1, Mckeesport, PA 15132 2020-07-10
1821610130 Tissa Bijoy George Student in an Organized Health Care Education/Training Program Mckeesport Internal Medicine 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 2020-05-08
1629699103 Nassar Mukhtar Student in an Organized Health Care Education/Training Program 1321 Fifth Avenue Suite Mckeesport Internal Medicine, Mckeesport, PA 15132 2020-05-06
1851911432 Waqas Ali Student in an Organized Health Care Education/Training Program Mckeesport Internal Medicine 1321 Fifth Avenue, Suite 1, Mckeesport, PA 15132 2020-04-23
1932738739 Oyinkansola Morenike Ogundimu Student in an Organized Health Care Education/Training Program Upmc Mckeesport Latternan Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 2020-04-03
1700415817 Stephanie C Otuwa Student in an Organized Health Care Education/Training Program Upmc Mckeesport Latterman Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 2020-04-02
1417517855 Anna Jayoung ' Lee Student in an Organized Health Care Education/Training Program 2347 5th Ave., Mckeesport, PA 15132 2019-06-18
1447819198 Tahreem Ahmad Student in an Organized Health Care Education/Training Program 1321 Fifth Avenue Mckeesport Internal Medicine, Suite 1, Mckeesport, PA 15132 2019-06-06
1174181614 Malik Ahmad Student in an Organized Health Care Education/Training Program Mckeesport Hospital Internal Medicine, 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 2019-05-30
1184281198 Tariq Hassan Student in an Organized Health Care Education/Training Program Mckeesport Internal Medicine, 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 2019-05-24
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346576980 Kerri Ann Parrott Nurse Practitioner 918 Arlington St, Mckeesport, PA 15133-3884 2009-11-01
1871978049 Robert John Bauer Nurse Practitioner 1500 5th Ave, Mckeesport, PA 15132-2422 2015-07-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801496575 Albert Abbo Nurse Practitioner 801 Spruce St Fl 3, Philadelphia, PA 19107-5701 2020-10-30
1902411721 Sean Arthur Deiter Nurse Practitioner 3619 Gypsy Ln, Philadelphia, PA 19129-1612 2020-09-09
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
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Competitor

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City MCKEESPORT
Zip Code 15132

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Dataset Information

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.

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