PAMELLA HENNESSY (NPI# 1982173282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982173282 |
| Entity Type | Individual |
| Full Name | PAMELLA HENNESSY |
| Credential | CRNP |
| Practice Address |
1250 S Cedar Crest Blvd Ste 300 Allentown PA 18103-6381 |
| Mailing Address |
2100 Mack Blvd Fl 4 Allentown PA 18103-5622 |
| Practice Telephone | 6104023110 |
| Practice Fax Number | 6104023112 |
| Mailing Telephone | 4848840418 |
| Mailing Fax Number | 4848840628 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP018889 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP018889 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1250 S CEDAR CREST BLVD STE 300 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821053364 | Sergio Fabian Cossu | Internal Medicine | 1250 S Cedar Crest Blvd Ste 300, Allentown, PA 18103-6381 | 2006-04-18 |
| 1184261489 | Katherine Nicole Perry | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 300, Allentown, PA 18103-6381 | 2019-12-05 |
| 1285285197 | Meghan Lam | Physician Assistant | 1250 S Cedar Crest Blvd Ste 300, Allentown, PA 18103-6381 | 2019-09-23 |
| 1992211452 | Paulette Glenn | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 300, Allentown, PA 18103 | 2017-12-20 |
| 1770010555 | Lekha Racharla | Internal Medicine | 1250 S Cedar Crest Blvd Ste 300, Allentown, PA 18103-6381 | 2017-05-11 |
| 1346772993 | Akhil Kher | Student in an Organized Health Care Education/Training Program | 1250 S Cedar Crest Blvd Ste 300, Allentown, PA 18103-6381 | 2017-04-03 |
| 1396158010 | Hiwot Adamu Ayele | Internal Medicine | 1250 S Cedar Crest Blvd Ste 300, Allentown, PA 18103-6381 | 2014-06-10 |
| 1447670641 | Jennifer Ann Nesfeder | Internal Medicine | 1250 S Cedar Crest Blvd Ste 300, Allentown, PA 18103-6381 | 2014-04-26 |
| 1114213774 | Shailendra Singh | Internal Medicine | 1250 S Cedar Crest Blvd Ste 300, Allentown, PA 18103 | 2011-06-22 |
| 1790079366 | Daniel James Makowski | Internal Medicine | 1250 S Cedar Crest Blvd Ste 300, Allentown, PA 18103-6381 | 2011-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
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| 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 |
|---|---|---|---|---|
| 1639708340 | Stephanie Destafney | Nurse Practitioner | 5485 Cetronia Rd, Allentown, PA 18106-9757 | 2020-04-04 |
| 1235646506 | Tracy L. Henninger | Nurse Practitioner | 451 Chew St Ste 103, Allentown, PA 18102-3412 | 2018-01-08 |
| 1073037214 | Bryan Weinberg | Nurse Practitioner | 1240 S Cedar Crest Blvd Ste 208, Allentown, PA 18103-6218 | 2017-07-31 |
| 1104137629 | Barbara L Bier | Nurse Practitioner | 365 Cedar Crest Blvd, Allentown, PA 18103-0000 | 2010-06-30 |
| 1689817660 | Lisa Ann Siegfried | Nurse Practitioner | 535 No. 17th Street, Allentown, PA 18104-5016 | 2009-04-07 |
| 1023207032 | Patricia Mitchell-bowman | Nurse Practitioner | 1255 South Cedar Crest Boulevard, Allentown, PA 18103 | 2007-10-16 |
| 1508850546 | Sandra R Kowalski | Nurse Practitioner | 3080 Hamilton Blvd, Ste 350, Allentown, PA 18103-3694 | 2005-09-06 |
| 1669477543 | Debra Ann Williston | Nurse Practitioner | 1230 S Cedar Crest Blvd Stes 301, 302, 304, Allentown, PA 18103-6212 | 2005-06-16 |
| 1821605403 | Allen Zelno | Nurse Practitioner | 450 Chew St, Allentown, PA 18102-3434 | 2020-09-28 |
| 1992334239 | Beth Sinkovits | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103-6381 | 2020-04-08 |
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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.