TONYA LEIGH AVERSA (NPI# 1699075887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699075887 |
| Entity Type | Individual |
| Full Name | TONYA LEIGH AVERSA |
| Credential | CRNP |
| Practice Address |
122 W. Main St. Mt. Jewett PA 16740-0400 |
| Mailing Address |
908 Niagara Falls Blvd Suite 208 North Tonawanda NY 14120-2019 |
| Practice Telephone | 8149751188 |
| Practice Fax Number | 8149751187 |
| Mailing Telephone | 7166922160 |
| Mailing Fax Number | 7166924342 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2016-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP011004 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04317988 | 05 | |
| PA | 1028681740023 | 05 |
| Street Address |
122 W. MAIN ST. |
| City | MT. JEWETT |
| State | PA |
| Zip Code | 16740-0400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295832970 | Susan Sarah Panah | Internal Medicine | 18 West Main, Mt. Jewett, PA 16740 | 2006-09-17 |
| 1548296536 | Judy Flynn | Nurse Practitioner | 18 West Main Street, Mt. Jewett, PA 16740 | 2006-06-23 |
| 1053744706 | Olean General Hospital | Family Medicine | 122 West Main Street, Mt. Jewett, PA 16740 | 2013-08-16 |
| 1841444056 | Eric Paul Asp | Physician Assistant | 18 West Main Street, Mt. Jewett, PA 16740 | 2008-11-14 |
| 1073505467 | Linda D Rettger | Family Medicine | 18 W Main St, Mt Jewett, PA 16740-0000 | 2005-08-22 |
| 1851324974 | Mt Jewett Area Ambulance Association Inc | Ambulance | 39 E Main St, Mt Jewett, PA 16740-0355 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295832970 | Susan Sarah Panah | Internal Medicine | 18 West Main, Mt. Jewett, PA 16740 | 2006-09-17 |
| 1548296536 | Judy Flynn | Nurse Practitioner | 18 West Main Street, Mt. Jewett, PA 16740 | 2006-06-23 |
| 1053744706 | Olean General Hospital | Family Medicine | 122 West Main Street, Mt. Jewett, PA 16740 | 2013-08-16 |
| 1841444056 | Eric Paul Asp | Physician Assistant | 18 West Main Street, Mt. Jewett, PA 16740 | 2008-11-14 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1891395406 | Eimy Aguilar | Nurse Practitioner | 18 Descartes Dr, Lancaster, PA 17603-8861 | 2020-11-01 |
| 1134729775 | Jacqueline A Ouma | Nurse Practitioner | 4530 Clairton Blvd, Pittsburgh, PA 15236-2112 | 2020-10-30 |
| 1932709912 | Sheri Lynn Tittelmayer | Nurse Practitioner | 1012 Rozel Ave, Southampton, PA 18966-4130 | 2020-10-28 |
| 1346849197 | Alexander F Talarico | Nurse Practitioner | 576 Broad St, Emmaus, PA 18049-3856 | 2020-10-22 |
| 1255930129 | Patrick A Foster | Nurse Practitioner | 3332 Eisenbrown Rd, Reading, PA 19605-1412 | 2020-10-22 |
| 1033718051 | Charlene Martin Wolfgang | Nurse Practitioner | 806 Megan Dr, Cranberry Twp, PA 16066-7422 | 2020-10-21 |
| 1750980728 | Jamie Simpson | Nurse Practitioner | 618 Rachelle Ct, Latrobe, PA 15650-4731 | 2020-10-21 |
| 1124627138 | Ashley G Dillard | Nurse Practitioner | 5447 Stanton Ave, Pittsburgh, PA 15206-2518 | 2020-10-21 |
| 1831798867 | Elena Khlobystova | Nurse Practitioner | 16 Carriage House Dr, Southampton, PA 18966-2225 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | MT. JEWETT |
| Zip Code | 16740 |
Please comment or provide details below to improve the information on TONYA LEIGH AVERSA.
| 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.