CAITLYN RIVERO (NPI# 1346510815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346510815 |
Entity Type | Individual |
Full Name | CAITLYN RIVERO |
Practice Address |
1020 W Lackawanna Ave Scranton PA 18504-2052 |
Practice Telephone | 8006397827 |
Enumeration Date | 2011-12-30 |
Last Update Date | 2015-06-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | OA003286 | PA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | 22015 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA055428 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1020 W LACKAWANNA AVE |
City | SCRANTON |
State | PA |
Zip Code | 18504-2052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437351178 | Olapeju Modupeola Simoyan | Family Medicine | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 2007-06-04 |
1457978926 | Nicole Lynn Olaes | Peer Specialist | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 2020-07-01 |
1447876594 | Kevin Charles Hughes | Peer Specialist | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 2020-06-24 |
1881210938 | Shannon Reed Pieck | Peer Specialist | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 2020-06-24 |
1568088276 | Dawn Marie Benfatti | Peer Specialist | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 2020-06-18 |
1982180683 | Bien Xuan Nguyen | Nurse Practitioner | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 2018-07-16 |
1578938056 | Ann Narcoonis | Registered Nurse | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 2015-12-09 |
1255668125 | Mark William Bohn | Family Medicine | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 2009-11-12 |
1487980793 | Julie Ann Ohara | Internal Medicine | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 2009-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972141984 | Stephanie Weisel | Counselor | 228 South Main Street, Scranton, PA 18504 | 2019-12-20 |
1326517889 | Rebecca L Connor | Chiropractor | 2953 Frink Street, Scranton, PA 18504 | 2018-11-14 |
1598217028 | Fresenius Medical Care West Scranton, LLC | Clinic/Center | 321 Meridian Ave, Scranton, PA 18504 | 2016-11-01 |
1902296999 | Heart To Heart D/b/a Caring Matters Home Care | In Home Supportive Care | 118 South Main Avenue, Scranton, PA 18504 | 2015-01-28 |
1366846156 | Roy Gilgallon | Counselor | 431 Rear Wyoming Ave, Scranton, PA 18504 | 2014-10-22 |
1659706596 | Megan Oswald | Speech-Language Pathologist | 1024 Acker Ave, Scranton, PA 18504 | 2013-09-11 |
1912272261 | Shannon Ritterbusch | Occupational Therapist | 1252 Rundle, Scranton, PA 18504 | 2012-03-20 |
1407992761 | Vip Look Inc | Durable Medical Equipment & Medical Supplies | 455 N Main Ave, Scranton, PA 18504 | 2007-01-30 |
1073604443 | Patrick F Cioni | Counselor | 138 S Cameron Avenue, Scranton, PA 18504 | 2006-09-28 |
1104935808 | Vincent Luciano Ross | Pediatrics | 442 N Main Ave, Scranton, PA 18504 | 2006-08-29 |
Find all providers in zip 18504 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972977379 | Casey Ann Vescovi | Physician Assistant | 327 North Washington Ave., Suite 200, Scranton, PA 18503-1535 | 2015-11-23 |
1396137659 | Kara Lynn Rempe | Physician Assistant | 327 N Washington Ave Ste 200, Scranton, PA 18503 | 2015-02-24 |
1316932312 | Jennifer Murray Aebli | Physician Assistant | 5 Morgan Hwy Ste 4, Scranton, PA 18508-2641 | 2005-09-15 |
1366060923 | Alexa Rae Matillano | Physician Assistant | 449 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2020-07-10 |
1356994313 | Chivon Demchak | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2019-07-18 |
1790253193 | Meghan Katherine Cawley | Physician Assistant | 327 N Washington Ave Ste 200, Scranton, PA 18503-1535 | 2018-11-05 |
1790261303 | Gabriella Maria Rossi | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2018-07-17 |
1639626849 | Samipkumar Patel | Physician Assistant | 1141 Moosic St Ste 3, Scranton, PA 18505-2105 | 2016-09-06 |
1942669262 | Georgia Ann Healey | Physician Assistant | 743 Jefferson Ave Ste 305, Scranton, PA 18510-1639 | 2016-02-15 |
1730559881 | Jennifer Balinas | Physician Assistant | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2015-10-01 |
Find all providers in SCRANTON |
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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.