DR. JUDITH HAUCK (NPI# 1972620094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972620094 |
| Entity Type | Individual |
| Full Name | DR. JUDITH HAUCK |
| Credential | DNP, RN, PMHCNS-BC |
| Practice Address |
3 Enck Cir Enola PA 17025-1050 |
| Practice Telephone | 7175769243 |
| Practice Fax Number | 8666834434 |
| Mailing Telephone | 7175769243 |
| Mailing Fax Number | 8666834434 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
RN195926L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3 ENCK CIR |
| City | ENOLA |
| State | PA |
| Zip Code | 17025-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029658 | Penn State Health Hampden Medical Center | General Acute Care Hospital | 2200 Good Hope Road, Enola, PA 17025 | 2020-10-07 |
| 1326652009 | Keystone Hearing Center | Audiologist-Hearing Aid Fitter | 6891 Werzville Rd, Enola, PA 17025 | 2020-09-01 |
| 1316459480 | Joseph Franklin Thomas | Family Medicine | 1830 Good Hope Road, Enola, PA 17025 | 2017-10-30 |
| 1326312554 | Michele Barton | Occupational Therapy Assistant | 827 South Humer Street, Enola, PA 17025 | 2012-03-06 |
| 1477725232 | Christopher Peter Collins | Nurse Practitioner | 4510 Marketplace Way, Enola, PA 17025 | 2008-04-01 |
| 1740467570 | Spiritrust Lutheran Life | PACE Provider Organization | 1920 Good Hope Road, Enola, PA 17025 | 2008-01-23 |
| 1407814726 | Timothy A Clark | Internal Medicine | 2250 Millennium Way, Ste 400, Enola, PA 17025 | 2006-05-03 |
| 1093770695 | Michael Gerard Bennese | Chiropractor | 30 East Shady Lane, Enola, PA 17025 | 2006-04-18 |
| 1851760011 | Mounika Sankaramaddi | Internal Medicine | 310 E Penn Dr, Enola, PA 17025 | 2015-09-17 |
| 1184016719 | Ashad Shahid Syed | Internal Medicine | 1830 Good Hope Rd, Enola, PA 17025 | 2015-02-18 |
| Find all providers in zip 17025 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558718981 | Ciara Lynch Levine | Clinical Nurse Specialist | 52 Cherry Farm Ln, West Chester, PA 19382-8346 | 2016-05-16 |
| 1841572625 | Ashley Lorren Bear | Clinical Nurse Specialist | 300 Robson Rd, Dillsburg, PA 17019-8920 | 2011-09-16 |
| 1992977664 | Shirley Mucha | Clinical Nurse Specialist | 3811 O Hara St, Erc 712, Pittburgh, PA 15213 | 2008-04-02 |
| 1972729333 | Pamela L Weaver | Clinical Nurse Specialist | 4127 Brownsville Rd, Lese Bldg Suite 207, Pittsburgh, PA 15227-3348 | 2007-04-17 |
| 1154449734 | Diane Goldblum-graff | Clinical Nurse Specialist | 521 Guinevere Dr, Newtown Square, PA 19073-4433 | 2007-03-26 |
| 1356469860 | Le Ann Guerriere Rynier | Clinical Nurse Specialist | Route 422 and Sportsman Road, Wernersville, PA 19565 | 2007-03-26 |
| 1962538926 | Sharon Y Baron | Clinical Nurse Specialist | 1715 Green Valley Rd, Havertown, PA 19083-2520 | 2007-02-26 |
| 1942354097 | Michele Hamilton | Clinical Nurse Specialist | 110 Whitpain Hills, Michele Hamilton Cns, Blue Bell, PA 19422-1343 | 2007-01-23 |
| 1518071448 | Deborah Anne Fishman | Clinical Nurse Specialist | University Ave and Woodland Ave, Philadelphia, PA 19104 | 2006-08-18 |
| 1346261856 | Ada L Castle | Clinical Nurse Specialist | 1117 Woodward Dr Ste 4, Greensburg, PA 15601 | 2006-07-21 |
| 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.