KELLY M. DISTELRATH (NPI# 1477151280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477151280 |
| Entity Type | Individual |
| Full Name | KELLY M. DISTELRATH |
| Practice Address |
4203 Timberlane Dr Allison Park PA 15101-2954 |
| Practice Telephone | 4408138253 |
| Mailing Telephone | 4408138253 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN.CNP.0027728 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4203 TIMBERLANE DR |
| City | ALLISON PARK |
| State | PA |
| Zip Code | 15101-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679043210 | Eileen T Drury | Nurse Practitioner | 4068 Mt Royal Blvd Suite 101, Allison Park, PA 15101 | 2018-11-27 |
| 1528551611 | Lauren Elizabeth Bean | Physician Assistant | 4490 Mount Royal Blvd Ste 1000, Allison Park, PA 15101 | 2018-06-13 |
| 1326547795 | Sara Montgomery | Occupational Therapist | 4473 Birchwood Lane, Allison Park, PA 15101 | 2018-02-12 |
| 1023456449 | Jillian Elizabeth Kelly | Physician Assistant | 4290 William Flynn Highway, Suite 205, Allison Park, PA 15101 | 2013-06-07 |
| 1568736148 | Konstantina Elena Kreis | Psychologist | 307 Fourth Avenue, Bank Tower, Suite 1100, Pittsburgh, PA 15101 | 2012-02-29 |
| 1578851077 | Christopher Thomas Edwards | Orthopaedic Surgery | 2907 Claridge Drive, Allison Park, PA 15101 | 2011-07-18 |
| 1003100140 | Sarah Ruth Maffei | Counselor | 4068 Mount Royal Blvd Ste 220, Allison Park, PA 15101 | 2011-06-07 |
| 1447579560 | Ashley Louise Wakefield | Occupational Therapist | 2400 Wildwood Road, Allison Park, PA 15101 | 2010-05-28 |
| 1538490073 | Donald Joseph Huber | Family Medicine | 501 Foxcroft Lane, Allsion Park, PA 15101 | 2010-01-22 |
| 1770813685 | Bernard J Riley | Obstetrics & Gynecology | 3402 Route 8, Allison Park, PA 15101 | 2009-12-29 |
| Find all providers in zip 15101 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648320 | Jennifer Glace | Nurse Practitioner | 5 Moore Cir, Media, PA 19063-4953 | 2020-10-28 |
| 1710586805 | Tracey Wuestkamp Sloan | Nurse Practitioner | 5218 Bailey Ct W, Doylestown, PA 18902-1477 | 2020-10-20 |
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1679170989 | Aubree Marie Richards | Nurse Practitioner | 253 N Hershey Rd Ste 2, Harrisburg, PA 17112-9752 | 2020-10-08 |
| 1326654237 | Alissa Marie Buckanavage | Nurse Practitioner | 6223 Autumn View Dr, Harrisburg, PA 17112-1843 | 2020-09-17 |
| 1508471962 | Macey Schaffer | Nurse Practitioner | 2903 Broadway Ave, Pittsburgh, PA 15234-2801 | 2020-09-12 |
| 1710592472 | Novique Medical Aesthetics | Nurse Practitioner | 1715 S Easton Rd, Doylestown, PA 18901-5923 | 2020-09-10 |
| 1992318141 | Mary Jucel P Angeles | Nurse Practitioner | 100 E Lancaster Ave Ste 467, Wynnewood, PA 19096-3434 | 2020-08-27 |
| 1205448818 | Emily A Lockwood | Nurse Practitioner | 266 Lancaster Ave Ste 303, Malvern, PA 19355-3256 | 2020-08-17 |
| 1922619642 | Michelle Marie Platzer | Nurse Practitioner | 1238 N Mascher St, Philadelphia, PA 19122-4617 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | ALLISON PARK |
| Zip Code | 15101 |
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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.