MS. STEPHANIE BURKHOLDER (NPI# 1700138765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700138765 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE BURKHOLDER |
| Credential | CRNP |
| Practice Address |
2401 Park Dr Ste 101 Harrisburg PA 17110-9303 |
| Mailing Address |
409 S 2nd St Suite 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7176869842 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN561064 | PA | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP012554 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103012545 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588936892 | Stephanie Buswell Burkholder | Nurse Practitioner | 215 W Mendenhall St, Room 117, Bozeman, MT 59715-3478 | 2012-02-01 |
| Street Address |
2401 PARK DR STE 101 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17110-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356341366 | Jessica Holley Tweedy | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2005-08-01 |
| 1821567835 | Virginie Wandji Tokha | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2018-11-19 |
| 1437650546 | Landmark Connect of Pennslyvania PC | General Practice | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2018-02-23 |
| 1275032872 | Suzanne Lebeau | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2018-02-08 |
| 1689035982 | Landmark Medical of Pennsylvania PC | General Practice | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2016-03-14 |
| 1457725665 | Jill Madigan | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2015-11-26 |
| 1154795706 | Erin Stauffer | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2015-11-19 |
| 1821461062 | Christy Lepore | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2015-11-10 |
| 1790154482 | Cindyl Lee Mauzey | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2015-09-23 |
| 1124494869 | Kimngan Thi Velott | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2015-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993271 | Christopher William Delong | Nurse Practitioner | 2501 North 3rd St. Fl 2, Harrisburg, PA 17110 | 2019-10-14 |
| 1306490701 | Melissa Ann Duchesne | Registered Nurse | 2501 North 3rd Street, Landis Building 7th Floor, Harrisburg, PA 17110 | 2019-07-25 |
| 1558845024 | Mary Kaitlin Novak | Counselor | 3605 Vartan Way, Suite 204a, Harrisburg, PA 17110 | 2018-09-20 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1356897938 | Millonee Dialysis LLC | Clinic/Center | 4390 Sturbridge Dr, Harrisburg, PA 17110 | 2016-09-01 |
| 1538529268 | Ergency Associates LLC | Emergency Medical Technician, Basic | 2323 Linglestown Road, Unit 201b, Harrisburg, PA 17110 | 2016-02-23 |
| 1134514904 | Benjamin Daniel Chan | Student in an Organized Health Care Education/Training Program | Kline Health Center, 2501 N. Third St., 2nd Floor, Landis Building, Harrisburg, PA 17110 | 2015-03-30 |
| 1013317411 | Robert Derner Jr. | Counselor | 2700 Commerce Dr., Harrisburg, PA 17110 | 2014-09-04 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1962791905 | Paul Schaffner Stoner Sr. | General Practice | 4500 Oakhurst Blvd., Apt 319, Harrisburg, PA 17110 | 2011-03-30 |
| Find all providers in zip 17110 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790098671 | Jacqueline M Hostetter | Nurse Practitioner | 100 South Cameron St., Harrisburg, PA 10104-2547 | 2010-07-20 |
| 1124191713 | Tracy M Lehmann | Nurse Practitioner | 300 Mary St, Apt 88, Harrisburg, PA 17104-3535 | 2006-11-15 |
| 1811557614 | Christopher James Story | Nurse Practitioner | 1617 N Front St, Harrisburg, PA 17102-2414 | 2019-06-14 |
| 1922577576 | Natalie Cross | Nurse Practitioner | 111 S Front St, Harrisburg, PA 17101 | 2018-11-13 |
| 1508234790 | Laurissa Rae Ash | Nurse Practitioner | 4000 Linglestown Rd, Harrisburg, PA 17112-1017 | 2015-09-04 |
| 1356733067 | Lisa A Cass | Nurse Practitioner | 4000 Linglestown Rd, Harrisburg, PA 17112-1017 | 2015-03-04 |
| 1952709982 | Larissa Ann Bower | Nurse Practitioner | 805 Sir Thomas Ct Fl 2, Harrisburg, PA 17109 | 2014-12-08 |
| 1619252848 | Megan Mccrae Lofgren | Nurse Practitioner | 2704 Commerce Dr, Harrisburg, PA 17110-9380 | 2011-10-19 |
| 1376831008 | Margaret M Gingrich | Nurse Practitioner | 100 N Cameron St Ste 301-east, Harrisburg, PA 17101-2424 | 2011-07-15 |
| 1932411030 | Jean Marie Rasimowicz | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110 | 2010-07-07 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17110 |
Please comment or provide details below to improve the information on MS. STEPHANIE BURKHOLDER.
| 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.