MRS. VANESSA ANN SIDICK (NPI# 1093357915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093357915 |
| Entity Type | Individual |
| Full Name | MRS. VANESSA ANN SIDICK |
| Other Name | MS. VANESSA ANN FEDERICO |
| Credential | CRNP |
| Practice Address |
4 Peartree Way Beaver PA 15009-1954 |
| Mailing Address |
109 Julianna Dr Coraopolis PA 15108-3764 |
| Practice Telephone | 7247283575 |
| Practice Fax Number | 7247707964 |
| Mailing Telephone | 4129652042 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP020517 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4 PEARTREE WAY |
| City | BEAVER |
| State | PA |
| Zip Code | 15009-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424602 | Cathy Lynn Saunders | Obstetrics & Gynecology | 4 Peartree Way, Beaver, PA 15009-1954 | 2005-08-15 |
| 1467946285 | Tri State Obstetrics & Gynecology | Obstetrics & Gynecology | 4 Peartree Way, Beaver, PA 15009-1954 | 2018-06-15 |
| 1497198998 | Sara Joelle Roper | Obstetrics & Gynecology | 4 Peartree Way, Beaver, PA 15009-1954 | 2013-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734494 | Renee Thomas | Registered Nurse | 659 3rd Street, Upper Suite, Beaver, PA 15009 | 2019-01-14 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 1861845208 | Gary Koch | Psychologist | 500 Market St Ste 204b, Beaver, PA 15009 | 2016-07-21 |
| 1326367616 | Merakey Pennsylvania | Community/Behavioral Health | 148 Theodore Drive, Chippewa, PA 15009 | 2010-05-26 |
| 1912237215 | Sandra L. Mckeel | Counselor | 697 State Street, Vanport, PA 15009 | 2010-01-08 |
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1700040730 | Marie R Brauch | Counselor | 697 State St, #5, Beaver, PA 15009 | 2008-07-18 |
| 1932376696 | Justin Dosch | Emergency Medicine | 1000 Dutch Run Rd, Beaver, PA 15009 | 2008-05-13 |
| 1023280492 | Paul Michael Kuzma Jr Md | Ophthalmology | 628 Market Street, Bridgewater, PA 15009 | 2008-03-26 |
| 1881877868 | Jaime Michelle Kinkead | Social Worker | 160 Third Street, Beaver, PA 15009 | 2007-12-12 |
| Find all providers in zip 15009 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364762 | Karla Marie Elias | Nurse Practitioner | 102 Jodi Dr, Beaver, PA 15009-9522 | 2020-10-20 |
| 1952932642 | Derek Allen Lawhorn | Nurse Practitioner | 32 Sunset Ln, Beaver, OH 45613-9319 | 2020-01-31 |
| 1164910469 | Susan Elizabeth Bull | Nurse Practitioner | 1480 2nd St Fl 1, Beaver, PA 15009-2414 | 2018-04-23 |
| 1750824595 | Amanda Leigh Nuzzo | Nurse Practitioner | 108 Duncan Cir, Beaver, PA 15009-9660 | 2016-11-28 |
| 1871785261 | Jill Keneda Bailey | Nurse Practitioner | 993 Ritter Dr, Beaver, WV 25813-9556 | 2007-08-09 |
| 1255477212 | Linkous Family Health Care LLC | Nurse Practitioner | 993 Ritter Drive, Beaver, WV 25813 | 2007-01-29 |
| 1922580703 | Amanda Hope Bary | Nurse Practitioner | 1 Peartree Way, Beaver, PA 15009-1954 | 2018-08-29 |
| 1275077208 | Brian Yorns | Nurse Practitioner | 605 Sharon Rd, Beaver, PA 15009-1919 | 2016-12-09 |
| 1629475835 | Wendy Robison | Nurse Practitioner | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2014-12-03 |
| 1558780734 | Barbarajean Andreen | Nurse Practitioner | 1030 Beaner Hollow Rd, Sbo Office, Beaver, PA 15009-9723 | 2014-04-15 |
| Find all providers in BEAVER | ||||
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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.