BARBARA BOURDESS


Address: 119 Walnut St, Johnstown, PA 15901-1625
Phone: 8145340745

BARBARA BOURDESS (NPI# 1518055235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518055235
Entity Type Individual
Full Name BARBARA BOURDESS
Credential CRNP
Practice Address 119 Walnut St
Johnstown
PA 15901-1625
Mailing Address 158 Millers Rd
Sidman
PA 15955-3508
Practice Telephone 8145340745
Practice Fax Number 8145365431
Mailing Telephone 8145340745
Mailing Fax Number 8145365431
Enumeration Date 2006-10-10
Last Update Date 2018-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
SP007489 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA VALUEOPTIONS 520197 01
PA 1012166170001 05
PA HIGHMARK 1587977 01

Office Location

Street Address 119 WALNUT ST
City JOHNSTOWN
State PA
Zip Code 15901-1625

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346848983 Stephanie Erika Zaragoza Registered Nurse 119 Walnut St, Johnstown, PA 15901-1625 2020-10-15
1942827019 Arlene Owens Registered Nurse 119 Walnut St, Johnstown, PA 15901-1625 2020-07-06
1497399489 Roann Henry Counselor 119 Walnut St, Johnstown, PA 15901-1625 2019-11-01
1346703873 Kelsey Mills Counselor 119 Walnut St, Johnstown, PA 15901-1625 2019-04-11
1477019156 Cynthia Tarachko Registered Nurse 119 Walnut St, Johnstown, PA 15901-1625 2019-02-18
1326519760 Caitlin Hogue Counselor 119 Walnut St, Johnstown, PA 15901-1625 2018-12-11
1376024273 Nicole Otolinsky Counselor 119 Walnut St, Johnstown, PA 15901-1625 2018-08-28
1124504048 Kathryn Joelle Ross Registered Nurse 119 Walnut St, Johnstown, PA 15901-1625 2018-07-13
1659868008 Heather Lokesak Counselor 119 Walnut St, Johnstown, PA 15901-1625 2018-04-20
1790298628 Rebecca Padgett Counselor 119 Walnut St, Johnstown, PA 15901-1625 2017-11-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821540758 Valley Vision Care Optometrist 132 Market St., Johnstown, PA 15901 2016-10-26
1649515552 Nulton Diagnostic & Treatment Center, PC. Community/Behavioral Health 110 Franklin Street, Suite 100, Johnstown, PA 15901 2012-12-04
1811126113 Paul Richard Hoover Counselor 131 Market Street, Johnstown, PA 15901 2009-07-08
1013128495 Subarna Hamid Eisaman Internal Medicine 337 Somerset Street, Upmc-john P. Murtha Regional Cance, Department of Radiation Oncology, Johnstown, PA 15901 2007-05-25
1912049115 Charles G Shea Dmd PC Dentist 225 Vine St, Johnstown, PA 15901 2007-02-13
1982773297 Thomas J Bach Dentist 504 Franklin St, Johnstown, PA 15901 2006-11-08
1659458396 Joseph Andrew Balaschak Dentist 216 Dibert Street, Johnstown, PA 15901 2006-11-01
1306951561 Barry James Senior Dentist 248 Vine Street, Johnstown, PA 15901 2006-08-20
1316979396 Vicki Hess Social Worker 417 Main Street, Johnstown, PA 15901 2006-07-07
1043270143 Highland R Campbell Jr. Emergency Medicine 1086 Frankling St, Conemaugh Emergency Physicians Group, Johnstown, PA 15901 2006-03-24
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851502967 Diane E May Nurse Practitioner 320 Main St, Johnstown, PA 15901-1601 2007-05-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477152544 Jeanne Denise Howell Nurse Practitioner 6019 Saddlehorn Dr, Erie, PA 16506-4721 2020-10-20
1770199341 Nicole Kassandra Carissimi Nurse Practitioner 1618 S 19th St, Philadelphia, PA 19145-1439 2020-09-19
1548875875 Marisa Savic Nurse Practitioner 1 Medical Center Blvd Ste 407, Chester, PA 19013-3902 2020-09-14
1972117976 Matthew Hunter Nurse Practitioner 728 Westerly Pkwy, State College, PA 16801-4226 2020-09-07
1801400817 Monarch Psychiatric Services, P.C. Nurse Practitioner 103 N Gilpin St Ste 306, Punxsutawney, PA 15767-2055 2020-09-07
1154934412 Ashley Scott Foster Nurse Practitioner 1701 Timberidge Dr, Bethel Park, PA 15102-4043 2020-08-26
1699385146 Renee Lucci Nurse Practitioner 15 Douglas St, Ambler, PA 19002-4941 2020-08-08
1184233660 Care Therapy Nurse Practitioner 610 Pittsburgh St, Scottdale, PA 15683-1651 2020-07-30
1184233926 Jessica L Parente Nurse Practitioner 4067 Howley St, Pittsburgh, PA 15224-1439 2020-07-28
1770192775 Lisa Ghiloni Nurse Practitioner 6809 N 10th St, Philadelphia, PA 19126-2906 2020-07-26
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Competitor

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City JOHNSTOWN
Zip Code 15901

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Dataset Information

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.

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