MS. STACEY L. BRUNOZZI (NPI# 1972578912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972578912 |
| Entity Type | Individual |
| Full Name | MS. STACEY L. BRUNOZZI |
| Credential | CRNP |
| Practice Address |
400 E 2nd St 324 Kehr Union Building Bloomsburg PA 17815-1301 |
| Practice Telephone | 5703894451 |
| Practice Fax Number | 5703893417 |
| Mailing Telephone | 5703894451 |
| Mailing Fax Number | 5703893417 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2015-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP008441 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 E 2ND ST 324 KEHR UNION BUILDING |
| City | BLOOMSBURG |
| State | PA |
| Zip Code | 17815-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791538 | Bloomsburg University Speech & Hearing Clinic | Orthopaedic Surgery | 400 E 2nd St, Bloomsburg, PA 17815-1301 | 2020-02-07 |
| 1164933594 | Sharon M Blake | Speech-Language Pathologist | 400 E 2nd St, Bloomsburg, PA 17815-1301 | 2017-10-12 |
| 1750830881 | Kailyn R. Stewart | Speech-Language Pathologist | 400 E 2nd St, Centennial Hall, Bloomsburg, PA 17815-1301 | 2016-09-30 |
| 1700331881 | Becca Elizabeth Petrone | Speech-Language Pathologist | 400 E 2nd St, Bloomsburg, PA 17815-1301 | 2016-08-18 |
| 1548668155 | Kristin Funk Maguire | Specialist/Technologist | 400 E 2nd St, 161 Nelson Fieldhouse, Bloomsburg, PA 17815-1301 | 2014-12-12 |
| 1104102441 | Noah Jon Wasielewski | Specialist/Technologist | 400 E 2nd St, Bloomsburg University, Bloomsburg, PA 17815-1301 | 2011-11-01 |
| 1942518485 | Sophia Rush | Nurse Practitioner | 400 E 2nd St, Bloomsburg, PA 17815-1301 | 2010-09-17 |
| 1548573413 | Qing Yue | Specialist/Technologist, Other | 400 E 2nd St, Bloomsburg University, Centennial Hall, Bloomsburg, PA 17815-1301 | 2010-07-21 |
| 1215109061 | Lucinda Lee Harris | Nurse Practitioner | 400 E 2nd St, Rm. 324 Kub, Bloomsburg University of Pa, Bloomsburg, PA 17815-1301 | 2008-04-01 |
| 1750553129 | Terina L Oman | Nurse Practitioner | 400 E 2nd St, 324 Kehr Union Building, Bloomsb, Bloomsburg, PA 17815-1301 | 2008-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1124457551 | Patricia Marie Archey | Physician Assistant | 93 Avon Ave, Bloomsburg, PA 17815 | 2013-11-06 |
| 1154684561 | Alice Michele Weaver Maczuga | Social Worker | 816 Central Road, Bollmsburg, PA 17815 | 2012-06-20 |
| 1396069332 | Cmsu Behavioral Health and Developmental Services | Community/Behavioral Health | 675 Locust St, Bloomsburg, PA 17815 | 2010-03-19 |
| 1922235829 | Joel Stephen Hamilton | Dentist | 2 Audubon Court, Bloomsburg, PA 17815 | 2009-06-18 |
| 1508011685 | Cindy A Prosseda | Social Worker | 6850 Lowes Road, Bloomsburg, PA 17815 | 2008-11-17 |
| 1881854271 | Francis Joseph Welk | Physical Therapist | 410 Glen Ave, Suite 101 Susquehanna Physical Therapy Associates, Bloomsburg, PA 17815 | 2008-06-10 |
| 1679652390 | John A Scerbo | Dentist | 812 Central Road, Bloomsburg, PA 17815 | 2006-11-03 |
| 1104914811 | Columbia Ancillary Services Inc | Durable Medical Equipment & Medical Supplies | 1141 Ridge Road, Bloomsburg, PA 17815 | 2006-10-10 |
| 1922192681 | Patricia M. Taylor | Speech-Language Pathologist | 6530 Main Street, Bloomsburg, PA 17815 | 2006-10-03 |
| Find all providers in zip 17815 | ||||
| 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 |
|---|---|---|---|---|
| 1164450912 | Swanee Barbara Marcus | Nurse Practitioner | 22015 5th Street Hollow Rd Ste 1, Columbia Montour Family Health, Bloomsburg, PA 17815 | 2006-06-29 |
| 1629572870 | Melissa Bresenhan | Nurse Practitioner | 425 E 1st St, Bloomsburg, PA 17815-1480 | 2018-03-22 |
| 1932568789 | Jennifer Lynn Dufford | Nurse Practitioner | 2407 Reichart Rd, Bloomsburg, PA 17815-8969 | 2016-02-22 |
| 1992179030 | Jacquelyn Buff | Nurse Practitioner | 425 E 1st St, Bloomsburg, PA 17815-1480 | 2015-11-29 |
| 1265808117 | Sherry Gordner | Nurse Practitioner | 2407 Reichart Rd, Bloomsburg, PA 17815-8969 | 2015-08-14 |
| 1326464579 | Sara M Yoder | Nurse Practitioner | 2407 Reichart Rd, Bloomsburg, PA 17815-8969 | 2014-03-12 |
| 1215109061 | Lucinda Lee Harris | Nurse Practitioner | 400 E 2nd St, Rm. 324 Kub, Bloomsburg University of Pa, Bloomsburg, PA 17815-1301 | 2008-04-01 |
| 1740362862 | Mary Catherine Dalpiaz | Nurse Practitioner | 400 E 2nd St, Rm 324 Kub Bloomsburg University of Pennsylvania, Bloomsburg, PA 17815-1301 | 2006-10-19 |
| 1114977626 | Geisinger Clinic | Nurse Practitioner | 2407 Reichart Rd, Bloomsburg, PA 17815 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648320 | Jennifer Glace | Nurse Practitioner | 5 Moore Cir, Media, PA 19063-4953 | 2020-10-28 |
| 1710586805 | Tracey Wuestkamp Sloan | Nurse Practitioner | 5218 Bailey Ct W, Doylestown, PA 18902-1477 | 2020-10-20 |
| 1477151280 | Kelly M. Distelrath | Nurse Practitioner | 4203 Timberlane Dr, Allison Park, PA 15101-2954 | 2020-10-14 |
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1679170989 | Aubree Marie Richards | Nurse Practitioner | 253 N Hershey Rd Ste 2, Harrisburg, PA 17112-9752 | 2020-10-08 |
| 1326654237 | Alissa Marie Buckanavage | Nurse Practitioner | 6223 Autumn View Dr, Harrisburg, PA 17112-1843 | 2020-09-17 |
| 1508471962 | Macey Schaffer | Nurse Practitioner | 2903 Broadway Ave, Pittsburgh, PA 15234-2801 | 2020-09-12 |
| 1710592472 | Novique Medical Aesthetics | Nurse Practitioner | 1715 S Easton Rd, Doylestown, PA 18901-5923 | 2020-09-10 |
| 1992318141 | Mary Jucel P Angeles | Nurse Practitioner | 100 E Lancaster Ave Ste 467, Wynnewood, PA 19096-3434 | 2020-08-27 |
| 1205448818 | Emily A Lockwood | Nurse Practitioner | 266 Lancaster Ave Ste 303, Malvern, PA 19355-3256 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMSBURG |
| Zip Code | 17815 |
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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.