IVELISSE RODRIGUEZ (NPI# 1376001081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376001081 |
| Entity Type | Individual |
| Full Name | IVELISSE RODRIGUEZ |
| Practice Address |
212 Willow Valley Lakes Dr Willow Street PA 17584-9668 |
| Practice Telephone | 7172245819 |
| Mailing Telephone | 7172245819 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN286931 | PA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LPN | PN286931 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811490873 | Ivelisse Rodriguez | Occupational Therapist | Ad19 Calle 29, Trujillo Alto, PR 00976-3408 | 2018-03-15 |
| 1891816682 | Ivelisse Rodriguez | Pharmacy Technician | Calle Miguel Alcaide #207, Hatillo, PR 00659 | 2007-04-02 |
| 1841302973 | Ivelisse Rodriguez | Pharmacy Technician | 1 Calle 1, Jardines Deltoa, Toa Alta, PR 00953-1800 | 2006-08-31 |
| 1689009235 | Ivelisse Rodriguez | Counselor | 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 | 2013-09-13 |
| Street Address |
212 WILLOW VALLEY LAKES DR |
| City | WILLOW STREET |
| State | PA |
| Zip Code | 17584-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619023124 | Lancaster General Hospital | Family Medicine | 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 | 2007-01-26 |
| 1073170601 | Amanda Mcevoy | Registered Nurse | 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 | 2019-05-20 |
| 1245896505 | Jaimee Smeal | Licensed Practical Nurse | 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 | 2019-05-13 |
| 1144788589 | Patricia Lynn Corrao | Licensed Practical Nurse | 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 | 2019-03-05 |
| 1811455280 | Norby N/a Santiago | Licensed Practical Nurse | 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 | 2019-03-05 |
| 1801033782 | Orthopedic Assoc of Lancaster Ltd | Orthopaedic Surgery | 212 Willow Valley Lakes Dr, Suite 201, Willow Street, PA 17584-9668 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396397873 | Bethany M Noll | Audiologist-Hearing Aid Fitter | 226 Willow Valley Lakes Drive, Suite D, Willow Street, PA 17584 | 2019-07-15 |
| 1720546070 | Michelle Beachy | Licensed Practical Nurse | 212 Willow Lakes Drive, Suite 208, Willow Street, PA 17584 | 2019-03-06 |
| 1295293603 | Mary Florida | Registered Nurse | Department of Veteran Affiars, 212 Willow Valley Lakes Drive, Willow Street, PA 17584 | 2019-03-05 |
| 1275069494 | Victoria Vanburen | Counselor | 2819 Willow Street Pike, Willow Street, PA 17584 | 2017-05-08 |
| 1528505245 | Beverly Gooden | Pharmacist | 2600 Willow St. Pike, Willow St., PA 17584 | 2017-01-20 |
| 1902357544 | White Family Dental - Willow Street | Dentist | 212 Willow Valley Drive, Suite 209, Willow Street, PA 17584 | 2016-10-19 |
| 1134482144 | Alexis H Le | Pharmacist | 2600 N Willow Street Pike, Kmart Pharmacy #3810, Willow Street, PA 17584 | 2012-06-25 |
| 1992020309 | Elizabeth A Trozzo | Pharmacist | 2600 Willow Street Pike, Willow Street, PA 17584 | 2010-03-30 |
| 1295987642 | Nu Smile Family Dentistry | Dentist | 2600 Willowstreet Pike, Ste# 310, Willo W Street, PA 17584 | 2008-10-16 |
| 1629255948 | T W Ponessa and Associates Counseling Services Inc | Community/Behavioral Health | 730 Hans Herr Drive, Willow Street, PA 17584 | 2008-01-29 |
| Find all providers in zip 17584 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720546070 | Michelle Beachy | Licensed Practical Nurse | 212 Willow Lakes Drive, Suite 208, Willow Street, PA 17584 | 2019-03-06 |
| 1851959399 | Anita Cheryl Carter | Licensed Practical Nurse | 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 | 2019-05-30 |
| 1245896505 | Jaimee Smeal | Licensed Practical Nurse | 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 | 2019-05-13 |
| 1164086054 | Patricia Grubb | Licensed Practical Nurse | 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 | 2019-04-25 |
| 1871052829 | Betty Jean Nixdorf | Licensed Practical Nurse | 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 | 2019-03-19 |
| 1841758554 | Patricia Mitchell | Licensed Practical Nurse | 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 | 2019-03-12 |
| 1144788589 | Patricia Lynn Corrao | Licensed Practical Nurse | 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 | 2019-03-05 |
| 1811455280 | Norby N/a Santiago | Licensed Practical Nurse | 212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668 | 2019-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184723 | Mercedes Campbell | Licensed Practical Nurse | 255 E Lincoln Hwy, Penndel, PA 19047-4023 | 2020-11-05 |
| 1689272015 | Rosalia Martin | Licensed Practical Nurse | 1320 Matthew Dr, York, PA 17404-8605 | 2020-10-16 |
| 1730796335 | Stephanie Bellande | Licensed Practical Nurse | 2919 Birney Ave, Scranton, PA 18505-3131 | 2020-09-28 |
| 1740897818 | Ronald J Potocki Jr. | Licensed Practical Nurse | 8771 Findley Lake Rd, North East, PA 16428-4273 | 2020-09-23 |
| 1659987907 | Khatifa Bundy | Licensed Practical Nurse | 2327 W Hagert St, Philadelphia, PA 19132-4246 | 2020-09-22 |
| 1457967903 | Assanatu Monorma Bah | Licensed Practical Nurse | 800 Cottman Ave Apt 428, Philadelphia, PA 19111-3072 | 2020-09-21 |
| 1376159988 | Sierra Alexis Gadson | Licensed Practical Nurse | 2151 Knorr St, Philadelphia, PA 19149-2307 | 2020-09-18 |
| 1306451752 | Catherine L. Bredel | Licensed Practical Nurse | 1853 Brett St Apt 16, Pittsburgh, PA 15205-4015 | 2020-09-12 |
| 1134733215 | Erin Marie Mosser | Licensed Practical Nurse | 1 Eisenhower Drive, Student Health Services, University Park, PA 16802 | 2020-09-04 |
| 1346853090 | Marcia Tina Bristol | Licensed Practical Nurse | 1030 Elmwood Ave, Sharon Hill, PA 19079-1606 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW STREET |
| Zip Code | 17584 |
Please comment or provide details below to improve the information on IVELISSE RODRIGUEZ.
| 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.