MINDY JO VLACICH (NPI# 1407336993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407336993 |
| Entity Type | Individual |
| Full Name | MINDY JO VLACICH |
| Credential | CRNP |
| Practice Address |
Susquehanna Health Physical Medicine & Rehabilitation 700 High St Williamsport PA 17701-3198 |
| Mailing Address |
Susquehanna Physician Services 1201 Grampian Blvd Williamsport PA 17701-1900 |
| Practice Telephone | 5703212619 |
| Practice Fax Number | 5703212670 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN565857 | PA | Nursing Service Providers |
| Street Address |
SUSQUEHANNA HEALTH PHYSICAL MEDICINE & REHABILITATION 700 HIGH ST |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1407196223 | Courtney Kay Riddick | Registered Nurse | 10887 Us Hwy 22 West, Williamsport, OH 43164 | 2013-02-15 |
| 1679127211 | Jessica Lyn Percoco | Registered Nurse | 700 High Street, Williamsport, PA 17701 | 2019-08-01 |
| 1821577701 | Upmc Home Healthcare of Central Pennsylvania | Registered Nurse | 1100 Grampian Blvd, Four South, Williamsport, PA 17701-1909 | 2018-08-10 |
| 1134554751 | Kirsten Ellen Bubb | Registered Nurse | 1205 River Ave, 1st Floor, Williamsport, PA 17701-3724 | 2013-09-13 |
| 1164864070 | Deborah M Dolan | Registered Nurse | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2013-07-19 |
| 1790066223 | Jack Bogart Jr. | Registered Nurse | 740 High St, Suite 2001, Williamsport, PA 17701-3102 | 2011-08-29 |
| 1902185861 | Anne Rebecca Rhoads | Registered Nurse | 1100 Grampian Blvd, Four South, Williamsport, PA 17701-1909 | 2011-08-10 |
| 1942593355 | Joy Ann Hicks | Registered Nurse | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2011-05-18 |
| 1033402441 | Jamie Ann Mcculloch | Registered Nurse | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2011-05-18 |
| 1679714315 | Christy D Savel | Registered Nurse | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2009-03-10 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on MINDY JO VLACICH.
| 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.