BRIDGET CONKLIN (NPI# 1679589808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679589808 |
| Entity Type | Individual |
| Full Name | BRIDGET CONKLIN |
| Credential | CRNP |
| Practice Address |
529 Sunflower Dr Du Bois PA 15801-2378 |
| Mailing Address |
300 E Main St Reynoldsville PA 15851-1282 |
| Practice Telephone | 8143711510 |
| Practice Fax Number | 8143712922 |
| Mailing Telephone | 8143711510 |
| Mailing Fax Number | 8143712922 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2012-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP-008246 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
529 SUNFLOWER DR |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-2378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336129220 | Desiree M. Webb | Pediatrics | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2006-01-18 |
| 1720646649 | Dubois Regional Medical Center | Optometrist | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2019-06-05 |
| 1679139091 | Jessica Gruver | Optometrist | 529 Sunflower Dr, 2nd Floor, Du Bois, PA 15801-2378 | 2019-05-10 |
| 1245747120 | Kristie Lynn Kline | Nurse Practitioner | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2018-01-02 |
| 1184167090 | Lori Schaffer | Nurse Practitioner | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2016-11-25 |
| 1053714642 | Ashley Nicole Bertram | Physician Assistant | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2014-09-26 |
| 1952686784 | Nicole Marie Grunthaner | Physician Assistant | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2011-10-12 |
| 1356676233 | Emily Rae Bish | Physician Assistant | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2009-10-09 |
| 1427282706 | Michael D. Kacsmar | Nurse Practitioner | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2009-05-14 |
| 1508017286 | Dubois Regional Medical Center | Optometrist | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2008-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730610742 | Erin Wood | Nurse Practitioner | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2017-03-22 |
| 1740645480 | Michele Harris | Nurse Practitioner | 145 Hospital Ave, Suite 212, Du Bois, PA 15801-1462 | 2015-12-23 |
| 1932480167 | Adam L Wisor | Nurse Practitioner | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2011-09-01 |
| 1124035456 | Amy Vezza | Nurse Practitioner | 90 Beaver Dr, Suite 211d, Du Bois, PA 15801-2440 | 2006-08-01 |
| 1447267752 | Kristen Williams | Nurse Practitioner | 5690 Shaffer Rd, Du Bois, PA 15801 | 2006-08-01 |
| 1508862442 | Diana Bertram | Nurse Practitioner | 145 Hospital Ave, Ste 113, Du Bois, PA 15801-1463 | 2005-06-24 |
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|---|---|---|---|---|
| 1669072641 | Pinnacle Health Medical Services | Nurse Practitioner | 250 Fame Ave Ste 201, Hanover, PA 17331-1587 | 2020-10-28 |
| 1265044093 | Michelle Lynn Hurst | Nurse Practitioner | 1590 Medical Dr Ste A, Pottstown, PA 19464-3247 | 2020-08-21 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1437768413 | Stephanie Marie Lesseski | Nurse Practitioner | 2014 Creekside Dr, Edinboro, PA 16412-1458 | 2020-07-27 |
| 1588272959 | Elaine Michele Matisko | Nurse Practitioner | 56 Dorthea Street Ext, Houtzdale, PA 16651-8607 | 2020-07-21 |
| 1275155012 | Jamie Lee Auyeung | Nurse Practitioner | 2413 Lytle Rd, Bethel Park, PA 15102-2790 | 2020-05-14 |
| 1730715822 | Suzette Jones | Nurse Practitioner | Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 | 2020-03-20 |
| 1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
| 1477100311 | Larissa Marie Glowinski | Nurse Practitioner | 502 Vna Rd, East Stroudsburg, PA 18301-7965 | 2019-08-26 |
| 1295382232 | Marthe Adler | Nurse Practitioner | 300b Lawrence Dr, West Chester, PA 19380-4289 | 2019-08-23 |
| Find all providers with the same taxonomy | ||||
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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.