MARY LOU MACKIEVICH (NPI# 1639239890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639239890 |
| Entity Type | Individual |
| Full Name | MARY LOU MACKIEVICH |
| Credential | CRNP |
| Practice Address |
918 3rd Ave Beaver Falls PA 15010-4613 |
| Mailing Address |
530 Patterson Rd New Galilee PA 16141-4616 |
| Practice Telephone | 7248436000 |
| Mailing Telephone | 7243364984 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP000841A | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
918 3RD AVE |
| City | BEAVER FALLS |
| State | PA |
| Zip Code | 15010-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457410151 | Theresa Ann Reese | Registered Nurse | 918 3rd Ave, Beaver Falls, PA 15010-4613 | 2006-12-08 |
| 1306152087 | Donna E. Ceriani | Registered Nurse | 918 3rd Ave, Beaver Falls, PA 15010-4613 | 2010-08-19 |
| 1396076881 | Tri-state Medical Group, Inc | Family Medicine | 918 3rd Ave, Beaver Falls, PA 15010-4613 | 2010-01-22 |
| 1518193911 | Chris M Matsko | Family Medicine | 918 3rd Ave, Beaver Falls, PA 15010-4613 | 2009-06-01 |
| 1376778993 | Shaji Nair | Family Medicine | 918 3rd Ave, Beaver Falls, PA 15010-4613 | 2009-05-27 |
| 1134369952 | Susan Seikel | Registered Nurse | 918 3rd Ave, Beaver Falls, PA 15010-4613 | 2009-03-06 |
| 1306084801 | Tri State Medical Group, Inc | Skilled Nursing Facility | 918 3rd Ave, Beaver Falls, PA 15010-4613 | 2009-01-22 |
| 1972701746 | Michael Cullen | Family Medicine | 918 3rd Ave, Beaver Falls, PA 15010-4613 | 2007-07-03 |
| 1023232980 | Amber Lynn Fedin | Family Medicine | 918 3rd Ave, Beaver Falls, PA 15010-4613 | 2007-04-12 |
| 1073670568 | Carol Ann Padgett | Registered Nurse | 918 3rd Ave, Beaver Falls, PA 15010-4613 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350519 | Brittany Crowley | Occupational Therapist | Premier Therapy Corporate Office, 110 Central Square Dr., Beaver Falls, PA 15010 | 2019-01-15 |
| 1336647809 | County of Beaver | Case Management | 1020 8th Avenue, Beaver Falls, PA 15010 | 2018-01-30 |
| 1265951065 | Sarah Ann Calve | Physician Assistant | 1000 Knowlson Ave, Beaver Falls, PA 15010 | 2017-09-12 |
| 1467970087 | Charity Marlene Longstreth | Specialist/Technologist | 3200 College Avenue, Beaver Falls, PA 15010 | 2017-09-04 |
| 1689198517 | Tonette Marion Whitted | Counselor | 805 9th Avenue, Beaver Falls, PA 15010 | 2017-08-02 |
| 1497152151 | Brittany Hians | Physical Therapist | 110 Central Square Dr, Beaver Falls, PA 15010 | 2014-11-24 |
| 1790115319 | Annalisa Stief | Occupational Therapy Assistant | 251 Georgetown Rd, Beaver Falls, PA 15010 | 2013-11-18 |
| 1932539566 | Rebecca Meyers | Physical Therapy Assistant | 257 Georgetown Road, Beaver Falls, PA 15010 | 2013-11-18 |
| 1104169705 | Jacquelyn Skinner B. Skinner | Counselor | 1008 7th Ave., Suite 210, Beaver Falls, PA 15010 | 2013-04-02 |
| 1558621532 | Kara Marie Christopher | Speech-Language Pathologist | 2400 Darlington Road, Beaver Falls, PA 15010 | 2012-05-23 |
| Find all providers in zip 15010 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700353539 | Richard Jack Diamond | Nurse Practitioner | 2580 Constitution Blvd, Beaver Falls, PA 15010-1294 | 2018-10-30 |
| 1205347663 | Jenna Balkovec | Nurse Practitioner | 2580 Constitution Blvd, Beaver Falls, PA 15010 | 2017-10-12 |
| 1740700251 | Karly Christine Green | Nurse Practitioner | 2580 Constitution Blvd, Beaver Falls, PA 15010-1294 | 2017-06-26 |
| 1801287818 | Donna Shaffer | Nurse Practitioner | 2580 Constitution Blvd, Beaver Falls, PA 15010-1294 | 2015-02-12 |
| 1801299144 | Gina Belvedere | Nurse Practitioner | 2580 Constitution Blvd, Beaver Falls, PA 15010-1294 | 2014-10-01 |
| 1962740118 | Ellen D. Gerace | Nurse Practitioner | 2580 Constitution Blvd, Beaver Falls, PA 15010 | 2013-01-23 |
| 1528316973 | Jeanne A Cox | Nurse Practitioner | 100 Chippewa Town Ctr, Beaver Falls, PA 15010-1204 | 2012-08-16 |
| 1649572926 | Dennis Shurmatz | Nurse Practitioner | 100 Chippewa Town Ctr, Beaver Falls, PA 15010-1204 | 2010-11-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER FALLS |
| Zip Code | 15010 |
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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.