JACQUELINE HEATHER EDLEBLUTE (NPI# 1982223582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982223582 |
| Entity Type | Individual |
| Full Name | JACQUELINE HEATHER EDLEBLUTE |
| Credential | CRNP |
| Practice Address |
2250 E Market St York PA 17402-2857 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178121566 |
| Practice Fax Number | 7178123950 |
| Mailing Telephone | 7178511405 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN630278 | PA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | SP021789 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2250 E MARKET ST |
| City | YORK |
| State | PA |
| Zip Code | 17402-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700883576 | Linda Anliot Miller | Registered Nurse | 2250 E Market St, York, PA 17402-2857 | 2005-07-07 |
| 1609380484 | Maria C Diaz | Nurse Practitioner | 2250 E Market St, York, PA 17402-2857 | 2017-11-30 |
| 1871022897 | Mandi Rhone | Family Medicine | 2250 E Market St, York, PA 17402-2857 | 2017-06-05 |
| 1588104467 | Amanda Shaffer | Nurse Practitioner | 2250 E Market St, York, PA 17402-2857 | 2017-02-27 |
| 1730626839 | Ashley Manuel | Registered Nurse | 2250 E Market St, York, PA 17402-2857 | 2017-01-26 |
| 1275083115 | Angela M Johnson | Nurse Practitioner | 2250 E Market St, York, PA 17402-2857 | 2016-10-04 |
| 1942665013 | Angela Rene Evans | Nurse Practitioner | 2250 E Market St, York, PA 17402-2857 | 2015-12-16 |
| 1487029906 | Wellspan Occupational Health | Clinic/Center | 2250 E Market St, York, PA 17402-2857 | 2015-12-09 |
| 1447622600 | Coman Thomas | Nurse Practitioner | 2250 E Market St, York, PA 17402-2857 | 2015-10-28 |
| 1962883207 | Monique S Hall | Family Medicine | 2250 E Market St, York, PA 17402 | 2015-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053987 | Hope Renewed Counseling Services LLC | Social Worker | 879 Clare Lane, York, PA 17402 | 2020-05-04 |
| 1912462292 | Andventure, Inc. | Home Health | Andventure, Inc., 3415c Concord Rd., York, PA 17402 | 2019-01-31 |
| 1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
| 1689120925 | Benjamin Stahle | Emergency Medicine | 70 Locust Grove Road, York, PA 17402 | 2016-08-28 |
| 1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
| 1215323878 | Sonya Maria Korda | Dentist | 332 Shasta Dr., York, PA 17402 | 2015-04-10 |
| 1588909691 | Kimberly Sue Marsico | Counselor | 3110 East Market St, York, PA 17402 | 2012-11-29 |
| 1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
| 1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
| 1578881652 | Oss Orthopaedic Hospital, LLC | General Acute Care Hospital | 1861 Powder Mill Rd., York, PA 17402 | 2010-05-13 |
| Find all providers in zip 17402 | ||||
| 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 |
|---|---|---|---|---|
| 1760954788 | Poonam Agarwal | Nurse Practitioner | 178 Dew Drop Rd Apt L, York, PA 17402-4653 | 2019-01-02 |
| 1912046343 | Jennifer L Barton | Nurse Practitioner | 728 S Beaver St, York, PA 17403-2209 | 2007-02-05 |
| 1073535225 | Allison Faye Geller | Nurse Practitioner | 2 Southside Rd, York, ME 03909-5117 | 2006-07-24 |
| 1962478313 | Colleen Victoria Webb | Nurse Practitioner | 1575 Bannister St Ste 1, York, PA 17404-4946 | 2006-02-27 |
| 1922007228 | Edith Sielsch | Nurse Practitioner | 2587 Wildon Dr, York, PA 17403-5215 | 2005-07-19 |
| 1437157534 | Carolyn Miller Nickey | Nurse Practitioner | 2400 Kingston Court, York, PA 17402-2400 | 2005-07-12 |
| 1578189171 | Andrea Worwli Milligan | Nurse Practitioner | 1703 Innovation Dr Ste 4120, York, PA 17408-8815 | 2020-06-19 |
| 1598381170 | Alyx Paige Christenson | Nurse Practitioner | 717 Town Center Drive, York, PA 17408-4824 | 2020-06-19 |
| 1982234886 | Megan Alane Williams | Nurse Practitioner | 228 Saint Charles Way Ste 300, York, PA 17402-4661 | 2020-01-20 |
| 1871149146 | Mallory Evans | Nurse Practitioner | 16 Hospital Dr, York, ME 03909-1011 | 2019-08-13 |
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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.