KATHLEEN MARY ELLENBERGER (NPI# 1295389831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295389831 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARY ELLENBERGER |
| Credential | RN, BSN |
| Practice Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Mailing Address |
8672 Coal Hill Rd Luthersburg PA 15848-4914 |
| Practice Telephone | 8143757751 |
| Mailing Telephone | 8145911314 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN265951L | PA | Nursing Service Providers |
| Street Address |
100 HOSPITAL AVE |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627580 | Dennis E Kirst | Nurse Anesthetist, Certified Registered | 100 Hospital Ave, Penn Highlands Dubois Crna's, Du Bois, PA 15801-1440 | 2005-05-31 |
| 1922607431 | Holly Marie Bianchino | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-10-26 |
| 1932710704 | Kylee Breanne Leckey | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-08-13 |
| 1821615790 | Whitney Claire Haley | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-26 |
| 1255955209 | Jessica Lynn Neill | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-05 |
| 1871117382 | Gregory Vincent Gigliotti | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-01 |
| 1235759796 | Madalyn Hoke | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-24 |
| 1033748249 | Rhonda K Mcconnell | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-08 |
| 1073142972 | Alexander Westcott | Student in an Organized Health Care Education/Training Program | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-03 |
| 1942833538 | Kimberly Erin Miller | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471721 | Marla A Larson | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2019-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871125500 | Jeanne Eileen Harris | Registered Nurse | 110 Queen Junction Rd, Butler, PA 16001-0114 | 2020-02-11 |
| 1790317097 | April Peter | Registered Nurse | 2645 N 3rd St Fl 3, Harrisburg, PA 17110-2001 | 2020-02-05 |
| 1063974632 | Molly Shaeffer | Registered Nurse | 544 N Duke St, Lancaster, PA 17602-2250 | 2019-04-03 |
| 1659897668 | Rosella Gray | Registered Nurse | 254 Minor St, Norristown, PA 19401-4043 | 2017-08-22 |
| 1528445640 | Christopher Howe | Registered Nurse | 3011 W 11th St, Chester, PA 19013-1635 | 2015-04-27 |
| 1215320833 | Winreed Hussak | Registered Nurse | 115 Cardiff Rd, Pittsburgh, PA 15237-2834 | 2015-03-06 |
| 1609210335 | Tiffany Grabinski | Registered Nurse | 1510 Valley Center Pkwy Ste 200, Bethlehem, PA 18017-2267 | 2013-04-24 |
| 1972843043 | Lana Horne | Registered Nurse | 3505 Haupts Bridge Rd, Riegelsville, PA 18077-9587 | 2013-02-26 |
| 1831488840 | Guerdy Marie Joseph | Registered Nurse | 22 Union Ave, Bala Cynwyd, PA 19004-3101 | 2011-03-30 |
| 1295989507 | Adair Rohr | Registered Nurse | 4 Erie Ave, Saint Marys, PA 15857-1450 | 2008-11-13 |
| Find all providers with the same taxonomy | ||||
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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.