MS. SALLY J. YODER (NPI# 1750357653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750357653 |
| Entity Type | Individual |
| Full Name | MS. SALLY J. YODER |
| Credential | CRNP |
| Practice Address |
68 Fenner Avenue Troy PA 16947-1501 |
| Mailing Address |
1 Guthrie Sq Sayre PA 18840-1625 |
| Practice Telephone | 5702974104 |
| Practice Fax Number | 5702972066 |
| Mailing Telephone | 5708885858 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2011-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | F340238-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | VP003382H | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RR MEDICARE PIN | 500001497 | 01 |
| PA | RR MEDICARE GROUP | CC9269 | 01 |
| PA | PA MEDICARE GROUP | GU040074 | 01 |
| NY | 01734078 | 05 |
| Street Address |
68 FENNER AVENUE |
| City | TROY |
| State | PA |
| Zip Code | 16947-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710946686 | Vance A. Good | Internal Medicine | 68 Fenner Avenue, Troy, PA 16947-1501 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699249284 | Jodey Lynn Buchanan | Occupational Therapist | 15900 Us- 6, Troy, PA 16947 | 2019-01-16 |
| 1902378953 | Katelin Elizabeth Thompson | Occupational Therapy Assistant | 15900 Us-6, Troy, PA 16947 | 2018-12-31 |
| 1821565029 | Martha Lloyd Intermediate Care Facility | Intermediate Care Facility, Mentally Retarded | 76 Coppertree Ln, Troy, PA 16947 | 2018-10-26 |
| 1801050950 | Martha Lloyd Crf Sugar Creek | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 60 Ballard St, Troy, PA 16947 | 2008-07-17 |
| 1679737803 | Martha Lloyd Crf Ms House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Ballard St, Troy, PA 16947 | 2008-07-16 |
| 1407010986 | Martha Lloyd Crf Brookside | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 70 Ballard St, Troy, PA 16947 | 2008-07-15 |
| 1851555338 | Martha Lloyd Crf Brown House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 165 W Main Street, Troy, PA 16947 | 2008-07-15 |
| 1235323973 | Sarah Maxwell Gates | Psychologist | 122 Elmira Street, Suite B, Troy, PA 16947 | 2007-09-05 |
| 1073525069 | Jason D Munitz Od & Scott Rutkoski Od Ptr | Optometrist | 547 Canton Street, Suite 1, Troy, PA 16947 | 2006-08-11 |
| 1396777074 | Paul Jacob Hamburger | Chiropractor | 145 West Main Street, Troy, PA 16947 | 2006-07-06 |
| Find all providers in zip 16947 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948483 | Dawn Aimee Fisher | Nurse Practitioner | 2187 Hunters Lodge Rd, Troy, VA 22974-4344 | 2020-10-01 |
| 1124657143 | Angela Dalton | Nurse Practitioner | 1001 S Dorset Rd # C, Troy, OH 45373-4750 | 2020-04-02 |
| 1811528029 | Alzea Dorena Rineer | Nurse Practitioner | 15900, Us -6, Troy, PA 16947-1694 | 2020-01-28 |
| 1861052565 | Hannah Grainger | Nurse Practitioner | 44199 Dequindre Rd Ste G10, Troy, MI 48085-1128 | 2019-06-17 |
| 1649736729 | Marilyn Alysse Chengo | Nurse Practitioner | 1200 Kirts Blvd Ste 200, Troy, MI 48084-4899 | 2019-02-14 |
| 1144770454 | Sarah Neal | Nurse Practitioner | 3130 N Country Rd 25 A, Troy, OH 45373-1337 | 2016-10-11 |
| 1700334125 | Diane Byrd Campbell | Nurse Practitioner | 102 Regents Dr, Troy, MI 48084-5421 | 2016-09-14 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1649614009 | Latishia Renee-denise Berry | Nurse Practitioner | 880 W Long Lake Rd, Troy, MI 48098-4504 | 2013-04-29 |
| 1780901439 | Rosanna Marie Marrocco | Nurse Practitioner | 1777 Axtell Dr Ste 202, Troy, MI 48084-4435 | 2010-04-21 |
| Find all providers in TROY | ||||
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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.