MISS LEE ANN JOSETTE KLOCKO (NPI# 1558712018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558712018 |
| Entity Type | Individual |
| Full Name | MISS LEE ANN JOSETTE KLOCKO |
| Credential | CRNP |
| Practice Address |
42 N Main St Pittston PA 18640-1916 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5706025610 |
| Mailing Telephone | 5702716144 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2018-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP016246 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
42 N MAIN ST |
| City | PITTSTON |
| State | PA |
| Zip Code | 18640-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151124 | Evan Skene | Physician Assistant | 42 N Main St, Pittston, PA 18640-1916 | 2019-08-30 |
| 1457894917 | Stephen Gitkos | Physician Assistant | 42 N Main St, Pittston, PA 18640-1916 | 2016-11-30 |
| 1073981528 | Michelle Schmid | Physician Assistant | 42 N Main St, Pittston, PA 18640-1916 | 2015-09-14 |
| 1174903520 | Jean Thechelet Mandat | Family Medicine | 42 N Main St, Pittston, PA 18640-1916 | 2015-06-01 |
| 1982019964 | Tyler Policht | Family Medicine | 42 N Main St, Pittston, PA 18640-1916 | 2014-06-27 |
| 1215357256 | Karina Geronilla Phang | Pediatrics | 42 N Main St, Pittston, PA 18640-1916 | 2014-04-17 |
| 1114356656 | Ann Marie Banellis | Nurse Practitioner | 42 N Main St, Pittston, PA 18640-1916 | 2013-11-05 |
| 1114270154 | Erin Chesnavich | Physician Assistant | 42 N Main St, Pittston, PA 18640-1916 | 2012-10-15 |
| 1306111927 | Nancy Palmigiano | Physician Assistant | 42 N Main St, Pittston, PA 18640-1916 | 2012-03-14 |
| 1659505931 | Nicole Lee Balchune | Internal Medicine | 42 N Main St, Pittston, PA 18640-1916 | 2009-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225557176 | Terrana Counseling | Counselor | 2 Berkeley Street, Pittston, PA 18640 | 2017-09-12 |
| 1932647898 | Latona Home Health Services LLC | Home Health | 41 South Main St, Pittston, PA 18640 | 2017-02-10 |
| 1104292960 | Geisinger Wyoming Valley Medical Center | Radiology | 42 North Main St, Pittston, PA 18640 | 2015-08-17 |
| 1225412398 | Cara Capozucca | Specialist/Technologist | 450 Broad Street, Pittston Twp., PA 18640 | 2015-07-17 |
| 1548676463 | Dominick Ardo IIi | Pharmacist | 189 Johnson St, Pittston, PA 18640 | 2014-07-11 |
| 1518308691 | Katelyn Hopkins | Speech-Language Pathologist | 69 Market St, Pittston, PA 18640 | 2013-07-17 |
| 1467895300 | Nocerini-warshal P.C. | Dentist | 34 South Main St., Pittston, PA 18640 | 2013-04-10 |
| 1164767851 | Nancy Larralde | Physical Therapist | 209 Roberts Road, United Methodist Home Wesley Village, Pittston, PA 18640 | 2012-12-06 |
| 1285877399 | Brenda Ann Pavill | Nurse Practitioner | 37 Williams St, The Care and Concern Free Clinic, Pittston, PA 18640 | 2009-04-20 |
| 1558532671 | Wyoming Valley Alcohol & Drug Services, Inc | Counselor | 49 South Main St., Pittston, PA 18640 | 2008-03-17 |
| Find all providers in zip 18640 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346579539 | Diane Elizabeth Barush | Nurse Practitioner | 37 William St, Pittston, PA 18640-2555 | 2009-12-17 |
| 1285877399 | Brenda Ann Pavill | Nurse Practitioner | 37 Williams St, The Care and Concern Free Clinic, Pittston, PA 18640 | 2009-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1891395406 | Eimy Aguilar | Nurse Practitioner | 18 Descartes Dr, Lancaster, PA 17603-8861 | 2020-11-01 |
| 1134729775 | Jacqueline A Ouma | Nurse Practitioner | 4530 Clairton Blvd, Pittsburgh, PA 15236-2112 | 2020-10-30 |
| 1932709912 | Sheri Lynn Tittelmayer | Nurse Practitioner | 1012 Rozel Ave, Southampton, PA 18966-4130 | 2020-10-28 |
| 1346849197 | Alexander F Talarico | Nurse Practitioner | 576 Broad St, Emmaus, PA 18049-3856 | 2020-10-22 |
| 1255930129 | Patrick A Foster | Nurse Practitioner | 3332 Eisenbrown Rd, Reading, PA 19605-1412 | 2020-10-22 |
| 1033718051 | Charlene Martin Wolfgang | Nurse Practitioner | 806 Megan Dr, Cranberry Twp, PA 16066-7422 | 2020-10-21 |
| 1750980728 | Jamie Simpson | Nurse Practitioner | 618 Rachelle Ct, Latrobe, PA 15650-4731 | 2020-10-21 |
| 1124627138 | Ashley G Dillard | Nurse Practitioner | 5447 Stanton Ave, Pittsburgh, PA 15206-2518 | 2020-10-21 |
| 1831798867 | Elena Khlobystova | Nurse Practitioner | 16 Carriage House Dr, Southampton, PA 18966-2225 | 2020-10-21 |
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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.