MRS. CONNIE DECKER (NPI# 1902860265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902860265 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE DECKER |
| Credential | RNC CRNP |
| Practice Address |
1097 Oak Street Indiana PA 15701 |
| Practice Telephone | 7243492022 |
| Practice Fax Number | 7243498735 |
| Mailing Telephone | 7243492022 |
| Mailing Fax Number | 7243498735 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2014-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN264669L | PA | Nursing Service Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
UP004802G | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1097 OAK STREET |
| City | INDIANA |
| State | PA |
| Zip Code | 15701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336104819 | Jeanne M. Shoulders | Registered Nurse | 1097 Oak Street, Indiana, PA 15701 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871687178 | Adagio Health Inc. | Nurse Practitioner | 1097 Oak St, Indiana, PA 15701-1651 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508360538 | Melissa Mosczczynski | Nurse Practitioner | 9815 Roosevelt Blvd Ste C, Philadelphia, PA 19114-1035 | 2018-03-23 |
| 1689197873 | Rebecca Silver | Nurse Practitioner | 4807 Freemansburg Ave Ste 250, Easton, PA 18045-5522 | 2017-07-20 |
| 1376817569 | Lolita Maria Vaughan | Nurse Practitioner | 9501 Roosevelt Ave., Suite 404, Philadelphia, PA 19114 | 2012-03-06 |
| 1942596879 | Rose Wassel | Nurse Practitioner | 105 Firethorn Rd, Baden, PA 15005-2619 | 2011-06-20 |
| 1134424476 | Barrie Sydelle Essner | Nurse Practitioner | 1 Azalea Cir, Lafayette Hill, PA 19444-2102 | 2011-01-18 |
| 1215246780 | Casandra B. Gaffney | Nurse Practitioner | 600 E Marshall St Ste 205, West Chester, PA 19380-4453 | 2010-10-01 |
| 1174763601 | Lucinda A Reichley | Nurse Practitioner | 644 E High St Rear, Planned Parenthood, Pottstown, PA 19464-5762 | 2009-02-24 |
| 1912165960 | Doylestown Gynecology | Nurse Practitioner | 14 Memorial Dr, Ste A, Doylestown, PA 18901-3529 | 2008-05-27 |
| 1457536286 | Ruth Agers Rice | Nurse Practitioner | Cwm Seventeenth and Chew, Suite 100, Allentown, PA 18105 | 2007-12-28 |
| 1285768192 | Margaret Brown | Nurse Practitioner | 728 W Lincoln Hwy Fl 2, Exton, PA 19341 | 2007-03-15 |
| 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.