MISS JENNIFER G DISERIO (NPI# 1770602344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770602344 |
| Entity Type | Individual |
| Full Name | MISS JENNIFER G DISERIO |
| Credential | CRNP |
| Practice Address |
810 Clairton Blvd Suite 100 Pittsburgh PA 15236-4519 |
| Practice Telephone | 4124665004 |
| Practice Fax Number | 4124662137 |
| Mailing Telephone | 4124665004 |
| Mailing Fax Number | 4124662137 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2017-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP007943 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP0007943 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
810 CLAIRTON BLVD SUITE 100 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15236-4519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147891 | Lucas J Godinez | Pediatrics | 810 Clairton Blvd, Pittsburgh, PA 15236-4567 | 2005-07-08 |
| 1376184937 | Brooke Kulasa | Physician Assistant | 810 Clairton Blvd, Suite 100, Pittsburgh, PA 15236-4519 | 2019-10-04 |
| 1205486289 | Tierney Ludwick | Social Worker | 810 Clairton Blvd, Pittsburgh, PA 15236 | 2019-09-12 |
| 1730628926 | Lauren Elizabeth Lehman | Nurse Practitioner | 810 Clairton Blvd, Suite 100, Pittsburgh, PA 15236-4519 | 2017-02-21 |
| 1336684133 | Samantha Jo Angelo | Physician Assistant | 810 Clairton Blvd, Suite 100, Pittsburgh, PA 15236-4519 | 2017-01-03 |
| 1508308867 | Rachel Beth Mccarrison | Nurse Practitioner | 810 Clairton Blvd, Suite 100, Pittsburgh, PA 15236-4519 | 2016-11-17 |
| 1558723759 | Nikita Roy | Pediatrics | 810 Clairton Blvd, Suite 100, Pittsburgh, PA 15236-4519 | 2016-03-26 |
| 1033571666 | Kate M. Belser | Pediatrics | 810 Clairton Blvd, Suite 100, Pittsburgh, PA 15236-4519 | 2016-03-23 |
| 1740602754 | Michael T Durkin | Physician Assistant | 810 Clairton Blvd, Suite 100, Pittsburgh, PA 15236-4519 | 2014-01-09 |
| 1912257551 | Jonette M Mcclelland | Nurse Practitioner | 810 Clairton Blvd, Pittsburgh, PA 15236-4567 | 2012-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316410517 | Joint Ventures Wellness Pllc | Physical Therapist | 491 E Bruceton Rd, Suite 101, Pleasant Hills, PA 15236 | 2019-01-10 |
| 1215462429 | Smile Homecare, LLC | In Home Supportive Care | 4275 Clairton Blvd, Pittsburgh, PA 15236 | 2017-04-25 |
| 1306383922 | Dayo Navalgund Associates | Non-Pharmacy Dispensing Site | 491 E. Bruceton Rd., Suite 101, Pittsburgh, PA 15236 | 2017-01-20 |
| 1356725253 | Dayo Navalgund Associates | Durable Medical Equipment & Medical Supplies | 491 East Bruceton Rd, Suite 101, Pittsburgh, PA 15236 | 2015-07-10 |
| 1033502505 | Manpreet Kaur Sheabat | Physical Therapist | 421 Knoedler Rd, Apt 02, Pittsburgh, PA 15236 | 2015-03-09 |
| 1376956375 | Sara Dawson Bowers | Pharmacist | 403 Grace St, Pleasant Hills, PA 15236 | 2014-06-06 |
| 1740554468 | Chas Hoffmann | Student in an Organized Health Care Education/Training Program | 235 Jill Dr, Pittsburgh, PA 15236 | 2012-02-27 |
| 1760777999 | Xander Phoenix | Psychologist | 636 Cochrans Mills Road, Pittsburgh, PA 15236 | 2011-06-15 |
| 1457674970 | Visionworks, Inc. | Durable Medical Equipment & Medical Supplies | 639b Clairton Blvd, Pleasant Hills Borough, PA 15236 | 2010-03-11 |
| 1558697011 | A.j. Dicesaro Dc, Ltd | Chiropractor | 4500 Clairton Blvd., Pittsburgh, PA 15236 | 2009-10-19 |
| Find all providers in zip 15236 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523133 | Hollis Hartman Stewart | Nurse Practitioner | 4 Foxwood Dr, Pittsburgh, PA 15238-2106 | 2020-09-23 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1659826436 | Cynthia Mcquaide | Nurse Practitioner | 111 9th St, Pittsburgh, PA 15222-3605 | 2016-08-22 |
| 1841661386 | Rachael Brozewicz | Nurse Practitioner | 209 Biddle Ave, Apt 1, Pittsburgh, PA 15221-3433 | 2015-10-09 |
| 1295082071 | Kathleen Crisanti | Nurse Practitioner | 653 Aljo Dr, Pittsburgh, PA 15241-2010 | 2012-08-10 |
| 1902920549 | Mary Kathleen Kelly | Nurse Practitioner | 4221 Penn Ave, Pittsburgh, PA 15224-1307 | 2007-03-19 |
| 1811039779 | Jean Elizabeth Roemer | Nurse Practitioner | 3705 Fifth Ave., Pittsburgh, PA 15213 | 2007-02-13 |
| 1144366691 | Margaret Susan Hannan | Nurse Practitioner | 5324 Penn Ave, Pittsburgh, PA 15224-1733 | 2007-01-30 |
| 1780742569 | Beth A Windsor | Nurse Practitioner | Children's Hospital of Pgh 3705 Fifth Ave, Hematology Floor 4b, Pittsburgh, PA 15213-2583 | 2006-12-05 |
| 1881766624 | Janice Carol Maker | Nurse Practitioner | 300 Liberty Ave, 514 State Office Building, Pittsburgh, PA 15222-1210 | 2006-11-15 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15236 |
Please comment or provide details below to improve the information on MISS JENNIFER G DISERIO.
| 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.