BETHE VISCUSO (NPI# 1790029411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790029411 |
| Entity Type | Individual |
| Full Name | BETHE VISCUSO |
| Other Name | BETHE DUCKETT |
| Credential | CRNP |
| Practice Address |
2861 W 26th St Erie PA 16506-3064 |
| Mailing Address |
2861 W 26th St Ste 2 Erie PA 16506-3064 |
| Practice Telephone | 8148358903 |
| Mailing Telephone | 8148358093 |
| Mailing Fax Number | 8148358097 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN565331 | PA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP019305 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2625 Parade St, Erie, PA 16504 | 8144526383 | |
| 3915 Bell St, Erie, PA 165112833 | 8149691079 |
| Street Address |
2861 W 26TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16506-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053380071 | Melodie F Miller-chludzinski | Family Medicine | 2861 W 26th St, Erie, PA 16506-3064 | 2006-03-14 |
| 1942814108 | Cassandra Lynn Shaffer | Nurse Practitioner | 2861 W 26th St, Erie, PA 16506-3064 | 2020-09-04 |
| 1104446285 | Kenzie M Delp | Nurse Practitioner | 2861 W 26th St, Erie, PA 16506-3064 | 2020-04-20 |
| 1467941849 | Rachael Marie Kosar | Physician Assistant | 2861 W 26th St, Erie, PA 16506-3064 | 2018-05-01 |
| 1336699438 | Emily Dahlstrand | Physician Assistant | 2861 W 26th St, Erie, PA 16506 | 2016-10-12 |
| 1588028054 | Lindsay M Paterniti | Physician Assistant | 2861 W 26th St, Erie, PA 16506-3064 | 2016-04-11 |
| 1053717165 | Stephanie Moore | Physician Assistant | 2861 W 26th St, Erie, PA 16506-3064 | 2014-11-17 |
| 1528489119 | Epn Hamot Urgent Care Centers LLC | Emergency Medicine | 2861 W 26th St, Erie, PA 16506-3064 | 2013-12-27 |
| 1891125662 | Emmylu Abbie Johnson | Physician Assistant | 2861 W 26th St, Erie, PA 16506-3064 | 2013-11-15 |
| 1548699218 | Ryan Drabina | Physician Assistant | 2861 W 26th St, Erie, PA 16506-3064 | 2013-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619715 | Jonathan Thomas | Nurse Practitioner | 1419 Flannagan Ct, Erie, CO 80516-6941 | 2020-11-08 |
| 1255957833 | Nathan Stuart Kerr | Nurse Practitioner | 5043 Peach St, Erie, PA 16509-2032 | 2020-06-19 |
| 1639701428 | Tammy Lynn Black | Nurse Practitioner | 2323 Edinboro Rd, Erie, PA 16509-3476 | 2020-02-10 |
| 1104460518 | Elena Kovalevich | Nurse Practitioner | 333 State St Ste 102, Erie, PA 16507-1466 | 2019-10-30 |
| 1699333419 | Nicole Elizabeth Zmijewski | Nurse Practitioner | 2090 Matty Dr, Erie, MI 48133-9370 | 2019-06-05 |
| 1104390368 | Liqin Zhang | Nurse Practitioner | 1163 Mircos St, Erie, CO 80516-5408 | 2019-01-21 |
| 1003390444 | Tatyana Kryachkov | Nurse Practitioner | 3250 W Lake Rd., Suite 2, Erie, PA 16505-3691 | 2018-09-21 |
| 1487134664 | Jennifer Bechard Marshall | Nurse Practitioner | 411 Pleades Pl, Erie, CO 80516-2568 | 2018-08-17 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1619414331 | Chad Burns | Nurse Practitioner | 3002 W 11th St, Erie, PA 16505-3904 | 2017-01-20 |
| Find all providers in ERIE | ||||
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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.