TIFFANY FETTERMAN (NPI# 1154854149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154854149 |
| Entity Type | Individual |
| Full Name | TIFFANY FETTERMAN |
| Credential | CRNP |
| Practice Address |
175 Meadowbrook Ln Duncansville PA 16635-8445 |
| Mailing Address |
175 Meadowbrook Ln P O Box 909 Duncansville PA 16635-8445 |
| Practice Telephone | 8146930300 |
| Practice Fax Number | 8146930400 |
| Mailing Telephone | 8146930300 |
| Mailing Fax Number | 8146930400 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
SP017189 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
175 MEADOWBROOK LN |
| City | DUNCANSVILLE |
| State | PA |
| Zip Code | 16635-8445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205834397 | Frederick T Murphy | Internal Medicine | 175 Meadowbrook Ln, Duncansville, PA 16635-8445 | 2005-07-12 |
| 1750817375 | Alison Mary Verba | Physician Assistant | 175 Meadowbrook Ln, Duncansville, PA 16635-8445 | 2017-05-02 |
| 1477009421 | Jerica Lynn Wills | Nurse Practitioner | 175 Meadowbrook Ln, Duncansville, PA 16635-8445 | 2016-08-30 |
| 1407105935 | Altoona Center for Clincial Research | Specialist | 175 Meadowbrook Ln, Duncansville, PA 16635-8445 | 2012-08-30 |
| 1891967436 | Sharon K Ritchey | Nurse Practitioner | 175 Meadowbrook Ln, Duncansville, PA 16635-8445 | 2008-03-24 |
| 1144492786 | Michael Zumer | Physician Assistant | 175 Meadowbrook Ln, Duncansville, PA 16635-8445 | 2008-03-24 |
| 1639162241 | Lori A Lavelle | Internal Medicine | 175 Meadowbrook Ln, Duncansville, PA 16635-8445 | 2005-08-30 |
| 1447259023 | Alan Kivitz | Internal Medicine | 175 Meadowbrook Ln, Duncansville, PA 16635-8445 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811489800 | Colin Laird | Pharmacist | 3432 Route 764 Sugar Run Plaza, Cardinal Health, Duncansville, PA 16635 | 2018-06-05 |
| 1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
| 1760970917 | Samantha Elizabeth Griffith | Dietitian, Registered | 500 Municipal Dr, Duncansville, PA 16635 | 2018-04-24 |
| 1184977423 | Adelphoi Village | Public Health or Welfare | 521 Municipal Drive, Duncansville, PA 16635 | 2012-10-24 |
| 1205199296 | Bridget Olivia Corey | Podiatrist | 1798 Plank Rd Ste 201, Duncansville, PA 16635 | 2012-06-24 |
| 1497016935 | Tara Banks | Counselor | 117 Olde Farm Office Rd Ste 204, Duncansville, PA 16635 | 2012-05-31 |
| 1285901611 | Edward Alan White | Counselor | 111 Wood Duck Lane, Duncansville, PA 16635 | 2011-11-30 |
| 1518258797 | Shawn Byrnes | Occupational Therapist | 138 Veterans Boulevard, Duncansville, PA 16635 | 2011-04-22 |
| 1740439488 | Becky Lynn Ropp | Counselor | 1414 B 3rd Ave, Duncansville, PA 16635 | 2008-09-18 |
| 1104081496 | Laurel Medical Supplies, Inc. | Prosthetic/Orthotic Supplier | 1792 Old Route 220 North, Duncansville, PA 16635 | 2008-07-25 |
| Find all providers in zip 16635 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820622 | Diyong S Graham | Nurse Practitioner | 2812 Tremont St, Philadelphia, PA 19136-1025 | 2020-10-26 |
| 1457967499 | Rpg Health | Nurse Practitioner | 332 Frenchtown Rd, Milford, PA 18337-9004 | 2020-09-16 |
| 1427666759 | Arevik Bagdasarova | Nurse Practitioner | 312 W Providence Rd, Aldan, PA 19018-3830 | 2020-07-22 |
| 1346861978 | Christine Martinez | Nurse Practitioner | 2 W Baltimore Ave Ste 101, Media, PA 19063-3740 | 2020-05-05 |
| 1720608490 | Jaci Trosky | Nurse Practitioner | 2824 Enon Rd, Enon Valley, PA 16120-1454 | 2020-04-22 |
| 1750910808 | Alpha Integrated Clinic | Nurse Practitioner | 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 | 2020-04-01 |
| 1427681394 | Hwayoung Kim | Nurse Practitioner | 315 New St Apt 403, Philadelphia, PA 19106-1135 | 2020-02-19 |
| 1720624539 | Patrice Carver Cash | Nurse Practitioner | 539 Chain St, Norristown, PA 19401-4607 | 2019-11-27 |
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1528601739 | Ashley Lynn Swartz | Nurse Practitioner | 390 Gates St, Johnstown, PA 15906-1906 | 2019-10-21 |
| Find all providers with the same taxonomy | ||||
| City | DUNCANSVILLE |
| Zip Code | 16635 |
Please comment or provide details below to improve the information on TIFFANY FETTERMAN.
| 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.