ALICE MATUKAITIS (NPI# 1700957214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700957214 |
| Entity Type | Individual |
| Full Name | ALICE MATUKAITIS |
| Credential | CRNP |
| Practice Address |
10 E Independence St Shamokin PA 17872-6804 |
| Mailing Address |
4612 Westbranch Hwy Lewisburg PA 17837 |
| Practice Telephone | 5706480582 |
| Mailing Telephone | 5705233462 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2012-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
RN507564L | PA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE CROSS PROVIDER NO. | 50004271 | 01 |
| PA | BLUE SHIELD PROVIDER NO. | MA1332162 | 01 |
| Street Address |
10 E INDEPENDENCE ST |
| City | SHAMOKIN |
| State | PA |
| Zip Code | 17872-6804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841718491 | Angela Larue Schweitzer | Nurse Practitioner | 255 W. Spruce St, Shamokin, PA 17872 | 2017-09-05 |
| 1982989851 | Catherine Seedor | Licensed Practical Nurse | 169 North Grant Street, Shamokin, PA 17872 | 2011-10-11 |
| 1477799468 | Victor John Mihal | Chiropractor | 500 North Shamokin St., Shamokin, PA 17872 | 2008-12-23 |
| 1790842482 | Ernest Lamar Steinhart IIi | Dentist | 6 North Market Street, Shamokin, PA 17872 | 2007-01-02 |
| 1386707404 | James R Bull | Dentist | 518 N Shamokin St, Shamokin, PA 17872 | 2006-12-19 |
| 1467521948 | Robert N Hewlett Jr. | Pharmacist | 605 North Shamokin St, Medicine Shoppe Pharmacy, Shamokin, PA 17872 | 2006-11-07 |
| 1891894796 | Pooja Anju Agnish | Dentist | 550 West Walnut St, Shamokin, PA 17872 | 2006-09-21 |
| 1013950278 | Shamokin Area School District | Local Education Agency (LEA) | 7th & Arch Streets, Shamokin, PA 17872 | 2006-06-14 |
| 1184601312 | Tablett Inc | Pharmacy | 605 N Shamokin St, Shamokin, PA 17872 | 2005-12-29 |
| 1689745895 | Karen A. Kaskie | Nurse Practitioner | 531 N Franklin St, Shamokin, PA 17872 | 2006-11-10 |
| Find all providers in zip 17872 | ||||
| Taxonomy Code | 163WW0101X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Women's Health Care, Ambulatory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389208 | Stephanie Heffner | Registered Nurse | 90 Beaver Dr Ste 211d, Du Bois, PA 15801-2449 | 2018-09-12 |
| 1366925695 | Rebecca Wood | Registered Nurse | 807 Turnpike Ave Ste 260, Clearfield, PA 16830-1239 | 2018-09-12 |
| 1770078180 | Catherine Lynch Harrigan | Registered Nurse | 1111 Franklin St Ste 220, Johnstown, PA 15905-4330 | 2018-06-27 |
| 1871083600 | Kimberly Ruth Thomas | Registered Nurse | 25 Church St Fl 3, Wilkes Barre, PA 18702-3507 | 2018-05-17 |
| 1669863619 | Verlee Cunningham | Registered Nurse | 867 W Ingomar Rd, Pittsburgh, PA 15237-4304 | 2015-02-12 |
| 1457562936 | Sandra L Cohen | Registered Nurse | 6837 Germantown Ave, Philadelphia, PA 19119 | 2007-05-25 |
| 1508985268 | Kristen Jenkins | Registered Nurse | 8 Silk Mill Dr, Suite 226, Hawley, PA 18428-1413 | 2007-03-27 |
| 1457447203 | Robin Gallagher | Registered Nurse | 821 S Main St Ste 4, Old Forge, PA 18518-1497 | 2006-10-05 |
| 1477108348 | Christina Sophia Kimber | Registered Nurse | 100 N Academy Ave, Danville, PA 17822-0001 | 2019-08-07 |
| 1225695331 | Linda Kelly Graves | Registered Nurse | 625 Clark Ave Ste 17b, King of Prussia, PA 19406-1438 | 2019-05-23 |
| 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.