AUTUMN LEA CONKLIN (NPI# 1710273875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710273875 |
| Entity Type | Individual |
| Full Name | AUTUMN LEA CONKLIN |
| Practice Address |
289 North Ave Washington PA 15301-3512 |
| Mailing Address |
4297 Prosperity Pike Prosperity PA 15329-1254 |
| Practice Telephone | 7242237801 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
RN626758 | PA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114573490 | Autumn A Conklin | Counselor | 213 E Chestnut St, Mount Vernon, OH 43050-3404 | 2019-08-13 |
| Street Address |
289 NORTH AVE |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003949488 | Bonnie Jean Fattori | Speech-Language Pathologist | 289 North Ave, Washington, PA 15301-3512 | 2007-03-14 |
| 1962857409 | Rachel Mcintyre | Registered Nurse | 289 North Ave, Washington, PA 15301 | 2016-05-03 |
| 1255762084 | Patricia Duda | Registered Nurse | 289 North Ave, Washington, PA 15301-3512 | 2013-12-04 |
| 1487084661 | Cortney Bryant-brock | Registered Nurse | 289 North Ave, Washington, PA 15301-3512 | 2013-11-25 |
| 1508109968 | Michelle Gottschalk | Registered Nurse | 289 North Ave, Washington, PA 15301-3512 | 2013-04-03 |
| 1801145578 | Nicole M Kusky | Licensed Practical Nurse | 289 North Ave, Washington, PA 15301-3512 | 2012-09-10 |
| 1992010854 | Katie Beth Carter | Licensed Practical Nurse | 289 North Ave, Washington, PA 15301-3512 | 2010-08-16 |
| 1699091470 | Sandra Kathryn Kozak | Licensed Practical Nurse | 289 North Ave, Washington, PA 15301-3512 | 2010-04-19 |
| 1033444203 | Mary Beth Gipe | Licensed Practical Nurse | 289 North Ave, Washington, PA 15301-3512 | 2009-10-06 |
| 1982843009 | Monica Lee Miller | Registered Nurse | 289 North Ave, Washington, PA 15301-3512 | 2009-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811551450 | Audra Deweber | Registered Nurse | 1731 Bunker Hill Rd Ne, Washington, DC 20017-3026 | 2019-04-29 |
| 1417510272 | Sandrine Yanwouo Tankeu | Registered Nurse | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2019-04-17 |
| 1962857409 | Rachel Mcintyre | Registered Nurse | 289 North Ave, Washington, PA 15301 | 2016-05-03 |
| 1982843009 | Monica Lee Miller | Registered Nurse | 289 North Ave, Washington, PA 15301-3512 | 2009-02-12 |
| 1366681579 | Renae Marie Tear | Registered Nurse | 289 North Ave, Washington, PA 15301-3512 | 2009-02-11 |
| 1285807974 | Rebecca C Robert | Registered Nurse | 2333 Ontario Rd Nw, Washington, DC 20009-2627 | 2008-04-02 |
| 1952504326 | Sandy Phillips | Registered Nurse | 289 North Ave, Washington, PA 15301-3512 | 2007-06-06 |
| 1699978064 | Tiffany K Scott | Registered Nurse | 289 North Ave, Washington, PA 15301-3512 | 2007-06-06 |
| 1245433606 | Lori Antonetti | Registered Nurse | 289 North Ave, Washington, PA 15301-3512 | 2007-06-06 |
| 1750441531 | Leslie A Phillips | Registered Nurse | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2006-12-11 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
Please comment or provide details below to improve the information on AUTUMN LEA CONKLIN.
| 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.