LARISSA ANN JACKLINE (NPI# 1316327265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316327265 |
| Entity Type | Individual |
| Full Name | LARISSA ANN JACKLINE |
| Credential | CRNP |
| Practice Address |
2000 Mary St Suite 2500 Pittsburgh PA 15203-2054 |
| Practice Telephone | 4124885705 |
| Practice Fax Number | 4124885206 |
| Mailing Telephone | 4124885705 |
| Mailing Fax Number | 4124885206 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP014869 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2000 MARY ST SUITE 2500 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15203-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366424749 | Thomas Walter Glowa | Pharmacist | 2000 Mary St, Pittsburgh, PA 15203-2054 | 2005-11-18 |
| 1801434725 | Austin Joseph Griffith | Physician Assistant | 2000 Mary St, Pittsburgh, PA 15203-2095 | 2019-12-11 |
| 1710402045 | Regan Harrell | Physical Therapist | 2000 Mary St, Pittsburgh, PA 15203-2054 | 2017-08-08 |
| 1447708003 | Sunshine Sill | Physician Assistant | 2000 Mary St, Pittsburgh, PA 15203-2054 | 2016-09-13 |
| 1225582273 | Colleen Danaher | Physical Therapist | 2000 Mary St, Pittsburgh, PA 15203-2054 | 2016-08-08 |
| 1205380250 | Allyson Demetriadis | Physical Therapist | 2000 Mary St, Pittsburgh, PA 15203-2054 | 2016-08-08 |
| 1164875928 | Terry Johnstone | Physical Therapy Assistant | 2000 Mary St, Pittsburgh, PA 15203-2054 | 2016-07-18 |
| 1003284530 | Jessica Leslie | Occupational Therapist | 2000 Mary St, Pittsburgh, PA 15203-2054 | 2015-09-15 |
| 1003282765 | Amanda Kayser | Physical Therapist | 2000 Mary St, Pittsburgh, PA 15203-2054 | 2015-08-18 |
| 1912302415 | Donna L Geraci | Nurse Practitioner | 2000 Mary St, Pittsburgh, PA 15203-2054 | 2014-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689121154 | Ellen Scheidt | Counselor | 930 E Carson Street, Apt 205, Pittsburgh, PA 15203 | 2016-09-01 |
| 1134572506 | Matthew Charek | Emergency Medicine | 2626 South Tunnel Blvd, Apt 458, Pittsburgh, PA 15203 | 2016-07-20 |
| 1215393418 | Mallory Anne Sell | Specialist/Technologist | 3860 South Water Street, Pittsburgh, PA 15203 | 2016-01-05 |
| 1568834307 | Alicia Trbovich | Clinical Neuropsychologist | 3200 S Water St., Pittsburgh, PA 15203 | 2015-10-20 |
| 1609261288 | Brian Godshaw | Student in an Organized Health Care Education/Training Program | 3200 South Water St. Upmc Freddie Fu Sports Medicine Ce, Pittsburgh, PA 15203 | 2015-04-01 |
| 1346634839 | Robin Hall Dunn | Student in an Organized Health Care Education/Training Program | Upmc Freddie Fu Sports Medicine Center, 3200 S Water Street, Pittsburgh, PA 15203 | 2015-03-24 |
| 1821416736 | Ryan Stephen Murray | Student in an Organized Health Care Education/Training Program | Upmc Rooney Sports Complex, 3200 South Water Street, Pittsburgh, PA 15203 | 2014-03-29 |
| 1154671634 | Elizabeth Wolfe Errickson | Social Worker | 2304 Jane St., Pittsburgh, PA 15203 | 2012-09-12 |
| 1750638052 | Lauren Elise Cormier | Counselor | 330 S. Ninth Street, Pittsburgh, PA 15203 | 2012-08-07 |
| 1093060295 | Alice Marcus Okonak | Nurse Practitioner | Two Hot Metal Street, Second Floor, Quantum One, Pittsburgh, PA 15203 | 2012-07-13 |
| Find all providers in zip 15203 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729775 | Jacqueline A Ouma | Nurse Practitioner | 4530 Clairton Blvd, Pittsburgh, PA 15236-2112 | 2020-10-30 |
| 1124627138 | Ashley G Dillard | Nurse Practitioner | 5447 Stanton Ave, Pittsburgh, PA 15206-2518 | 2020-10-21 |
| 1063019974 | Lynne Ann Cipriani | Nurse Practitioner | 28 Stancey Rd, Pittsburgh, PA 15220-1724 | 2020-10-04 |
| 1538766589 | Abbigail Marie Linton | Nurse Practitioner | 4800 Friendship Ave Ste 322, Pittsburgh, PA 15224-1722 | 2020-10-02 |
| 1225643596 | Olusola Awokoya | Nurse Practitioner | 670 Lougeay Rd, Pittsburgh, PA 15235-4507 | 2020-09-13 |
| 1124631379 | William Allen Penney | Nurse Practitioner | 1542 Rutherford Ave, Pittsburgh, PA 15216-3364 | 2020-08-27 |
| 1235740457 | Teika Takedai | Nurse Practitioner | 106 Morrison Dr, Pittsburgh, PA 15216-1100 | 2020-08-11 |
| 1770194128 | Kimberly Alonso | Nurse Practitioner | 3347 Brownsville Rd # 2, Pittsburgh, PA 15227-2722 | 2020-08-10 |
| 1740890631 | Lindsay Johnston | Nurse Practitioner | 134 Kentzel Rd, Pittsburgh, PA 15237-2816 | 2020-08-05 |
| 1700496098 | Dana Pfoff | Nurse Practitioner | 1532 Ingomar Heights Rd, Pittsburgh, PA 15237-1607 | 2020-08-03 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15203 |
Please comment or provide details below to improve the information on LARISSA ANN JACKLINE.
| 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.