MRS. BETH A KREISEL (NPI# 1992074322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992074322 |
| Entity Type | Individual |
| Full Name | MRS. BETH A KREISEL |
| Credential | CRNP |
| Practice Address |
1243 S Cedar Crest Blvd Allentown PA 18103-6268 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6104029285 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP011302 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP011302 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1243 S CEDAR CREST BLVD |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323820 | Gary A. Tarola | Chiropractor | 1243 S Cedar Crest Blvd, Sutie# 2400 2nd Floor, Allentown, PA 18103-6268 | 2005-08-18 |
| 1538798772 | Michelle Rhonda Waitz-lynch | Speech-Language Pathologist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2020-04-08 |
| 1336706993 | Sara Renee Endres | Physical Therapist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2019-05-20 |
| 1639654528 | Thomas Novak Fraind | Physical Therapist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2018-09-26 |
| 1205324092 | Regina Radocha Sacco | Physical Therapist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2018-04-26 |
| 1598290421 | Shaeista Ali Khaku | Occupational Therapist | 1243 S Cedar Crest Blvd, 102, Allentown, PA 18103-6268 | 2017-04-28 |
| 1376082065 | Joseph Gocek | Physical Therapist | 1243 S Cedar Crest Blvd, Suite 102, Allentown, PA 18103-6268 | 2017-02-15 |
| 1801333752 | Colin Ellis | Physical Therapist | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2017-01-30 |
| 1720522881 | Erin Ebert | Nurse Practitioner | 1243 S Cedar Crest Blvd, Suite 2800, Allentown, PA 18103-6268 | 2016-12-08 |
| 1154778082 | Sandhya Venkataraman | Internal Medicine | 1243 S Cedar Crest Blvd, Allentown, PA 18103-6268 | 2016-05-20 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790336543 | Angela Olarte | Nurse Practitioner | 1627 Chew St Ste 403, Allentown, PA 18102-3648 | 2019-09-24 |
| 1518432194 | Annette Gomez | Nurse Practitioner | 2024 Lehigh St Ste 100, Allentown, PA 18103-4938 | 2018-10-10 |
| 1518964907 | Catherine Teresa Caruso | Nurse Practitioner | 203 Park Vista Terrace, Allentown, PA 18104 | 2005-06-30 |
| 1104305887 | Rebecca L Dejesus | Nurse Practitioner | 1627 Chew St Ste 101, Allentown, PA 18102 | 2018-08-13 |
| 1821532912 | Debra Phyllis Raffo | Nurse Practitioner | 1605 N Cedar Crest Blvd Ste 110b, Allentown, PA 18104-2351 | 2016-12-08 |
| 1497204788 | Loretta Ann Devivo | Nurse Practitioner | 1627 Chew St, Allentown, PA 18102-3648 | 2016-09-27 |
| 1811441256 | Katherine Penetar | Nurse Practitioner | 1250 S Cedar Crest Blvd, Ste 310, Allentown, PA 18103-6224 | 2016-08-14 |
| 1902253131 | Allyson Edwards | Nurse Practitioner | 1250 S Cedar Crest Blvd, Ste 300, Allentown, PA 18103-6224 | 2016-05-18 |
| 1932572013 | Mark Harvey | Nurse Practitioner | 1230 S Cedar Crest Blvd, Ste 201, Allentown, PA 18103-6367 | 2015-11-11 |
| 1033589205 | Katie Blazusiak | Nurse Practitioner | 1250 S Cedar Crest Blvd, Ste 300, Allentown, PA 18103-6224 | 2015-10-01 |
| Find all providers in ALLENTOWN | ||||
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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.