LISA R. DAVIDAVAGE (NPI# 1710277686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710277686 |
| Entity Type | Individual |
| Full Name | LISA R. DAVIDAVAGE |
| Credential | CRNP |
| Practice Address |
1201 Keystone Blvd Pottsville PA 17901-8982 |
| Practice Telephone | 5705441633 |
| Practice Fax Number | 5705441695 |
| Mailing Telephone | 5705441633 |
| Mailing Fax Number | 5705441695 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP011092 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1201 KEYSTONE BLVD |
| City | POTTSVILLE |
| State | PA |
| Zip Code | 17901-8982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063848273 | Geisinger Clinic | Physician Assistant | 1201 Keystone Blvd, Pottsville, PA 17901-8982 | 2013-09-19 |
| 1174959316 | The Medical Offices of Occupational Health Resources, PC | Clinic/Center | 1201 Keystone Blvd, Pottsville, PA 17901-8982 | 2013-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409762 | Culture2culture, Inc. | Community/Behavioral Health | 110 E Arch St Fl 1, Pottsville, PA 17901 | 2018-05-30 |
| 1376059444 | Stacie Marie Herring | Registered Nurse | 1400 Laurel Boulevard, Pottsville, PA 17901 | 2017-12-27 |
| 1477092567 | Dr. Scott Rosenthal, P.C. | Pain Medicine | 48 Tunnel Rd Ste 202, Pottsville, PA 17901 | 2017-02-22 |
| 1932573268 | Allied Health Care Services | Community/Behavioral Health | 320 N Second St, Pottsville, PA 17901 | 2015-11-24 |
| 1417344862 | Megan Heffron-foose | Behavioral Analyst | 221 Mahantongo Street, Pottsville, PA 17901 | 2015-04-23 |
| 1326443417 | Richard Adam Haycock | Psychiatry & Neurology | 16 South Centre St, Pottsville, PA 17901 | 2014-10-31 |
| 1245647296 | Maria Gustis | Counselor | 100 Greenbriar Road, Pottsville, PA 17901 | 2014-07-22 |
| 1790198398 | Michelle Chilinskas | Pharmacist | 500 N Claude Lord Blvd, Pottsville, PA 17901 | 2014-06-11 |
| 1952720153 | Darcie Nan Roeder | Physical Therapy Assistant | 700 E Norwegian St., Pottsville, PA 17901 | 2014-04-15 |
| 1205180858 | Rocky Mountain Holdings LLC | Ambulance | 1394 Cedar St, Pottsville, PA 17901 | 2012-11-05 |
| Find all providers in zip 17901 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | POTTSVILLE |
| Zip Code | 17901 |
Please comment or provide details below to improve the information on LISA R. DAVIDAVAGE.
| 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.