MICHELLE LEA ANTANOVICH (NPI# 1487756458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487756458 |
| Entity Type | Individual |
| Full Name | MICHELLE LEA ANTANOVICH |
| Credential | CRNP FAMILY PRACTICE |
| Practice Address |
3701 Route 88 Healthy Directions Mvh Primary Care, Inc. Finleyville PA 15332 |
| Mailing Address |
461 Ridgewood Dr Fredericktown PA 15333-2027 |
| Practice Telephone | 7243486699 |
| Practice Fax Number | 7243488640 |
| Mailing Telephone | 7249868938 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2012-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP006096B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3701 ROUTE 88 HEALTHY DIRECTIONS MVH PRIMARY CARE, INC. |
| City | FINLEYVILLE |
| State | PA |
| Zip Code | 15332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134134067 | Giant Eagle Inc | Pharmacy | 3701 Route 88, Finleyville, PA 15332 | 2006-07-29 |
| 1417245655 | Laurene J Donnelly | Nurse Practitioner | 3701 Route 88, Finleyville, PA 15332 | 2011-07-20 |
| 1013201466 | Mon-vale Primary Care, Inc. | Physician Assistant | 3701 Route 88, Finleyville, PA 15332 | 2011-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649798034 | Zachary John Baynham | Specialist/Technologist | 43 Pumpkin Center Rd, Finleyville, PA 15332 | 2017-09-06 |
| 1205143237 | Elizabeth Dionne Eddy | Counselor | 81 Walter Long Dr, Finleyville, PA 15332 | 2010-09-13 |
| 1073682498 | Richard James Nath | Chiropractor | 6101 Rear Route 88, Finleyville, PA 15332-0000 | 2006-11-07 |
| 1295217016 | Jason William Metz | Clinical Exercise Physiologist | 6811 Ridge Ave, Finleyville, PA 15332-1015 | 2018-08-29 |
| 1275934598 | Fortino Luigi Rigano | Specialist/Technologist | 5068 Bowling Green St, Finleyville, PA 15332-1104 | 2014-09-05 |
| 1548680572 | Shawna Fox | Registered Nurse | 5064 Don St, Finleyville, PA 15332-1110 | 2014-04-17 |
| 1740722545 | William Ryan Dougherty | Registered Nurse | 5011 Norman Ave, Finleyville, PA 15332-1127 | 2016-11-09 |
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1821244526 | Chiropractic Health Center of Finleyville,p.c. | Chiropractor | 3530 Marion Avenue, Finleyville, PA 15332-1314 | 2008-08-13 |
| 1538147020 | Christine Wittman | Chiropractor | 3530 Marion Ave, Finleyville, PA 15332-1314 | 2006-01-04 |
| Find all providers in zip 15332 | ||||
| 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 |
| 1477151280 | Kelly M. Distelrath | Nurse Practitioner | 4203 Timberlane Dr, Allison Park, PA 15101-2954 | 2020-10-14 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | FINLEYVILLE |
| Zip Code | 15332 |
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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.