LISA M CORDEK (NPI# 1760736961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760736961 |
| Entity Type | Individual |
| Full Name | LISA M CORDEK |
| Credential | CRNP |
| Practice Address |
323 Budfield St Johnstown PA 15904-3213 |
| Practice Telephone | 8142629500 |
| Practice Fax Number | 8142669142 |
| Mailing Telephone | 8142629500 |
| Mailing Fax Number | 8142669142 |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP012521 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
323 BUDFIELD ST |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699761742 | Bradley Scott Callihan | Nurse Practitioner | 323 Budfield St, Johnstown, PA 15904-3219 | 2005-09-23 |
| 1568063733 | Kathryn Joanne Zohoranacky | Physician Assistant | 323 Budfield St, Johnstown, PA 15904-3213 | 2020-11-04 |
| 1750924189 | Torry Elizabeth Earley | Nurse Practitioner | 323 Budfield St, Johnstown, PA 15904-3213 | 2019-10-17 |
| 1275176604 | Ileana Panebianco | Physician Assistant | 323 Budfield St, Johnstown, PA 15904-3213 | 2019-10-17 |
| 1285892372 | Shannon Maureen Nicoloff | Psychologist | 323 Budfield St, Johnstown, PA 15904-3213 | 2008-05-27 |
| 1346445640 | Carrie Dee Beebout | Physician Assistant | 323 Budfield St, Johnstown, PA 15904-6905 | 2007-06-18 |
| 1154349389 | Stephanie Ann Porter | Pediatrics | 323 Budfield St, Johnstown, PA 15904-3213 | 2006-07-17 |
| 1245218833 | Elaine Ann Confer | Pediatrics | 323 Budfield St, Johnstown, PA 15904-3219 | 2006-01-04 |
| 1063408102 | Johnnie Wilson Barto | Pediatrics | 323 Budfield St, Johnstown, PA 15904-3219 | 2005-09-23 |
| 1225024367 | Beth Yvonne Lambert | Pediatrics | 323 Budfield St, Johnstown, PA 15904-3219 | 2005-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780715 | Chelsy Damico | Nurse Practitioner | 348 Budfield St, Johnstown, PA 15904-3214 | 2020-01-27 |
| 1295389088 | Leslie Ellen Stock | Nurse Practitioner | 1086 Franklin St, Johnstown, PA 15905-4305 | 2019-07-30 |
| 1679127641 | Apryle Lynn Bober | Nurse Practitioner | 1 Tech Park Dr Ste 1150, Johnstown, PA 15901-2515 | 2019-07-29 |
| 1376006643 | Ryan Royston Matthews | Nurse Practitioner | 16 Rose St, Johnstown, PA 15905-4327 | 2019-04-12 |
| 1942773585 | Angela Marie Dill-simmons | Nurse Practitioner | 88 Osborne St, Johnstown, PA 15905-4146 | 2019-01-07 |
| 1295219384 | Katie Lee Ruiz | Nurse Practitioner | 1 Tech Park Dr Ste 1130, Johnstown, PA 15901-2517 | 2018-09-24 |
| 1881173003 | Emily Elizabeth Diloreto | Nurse Practitioner | 1123 Franklin St, Johnstown, PA 15905-4309 | 2018-08-08 |
| 1487154332 | Kayla Vinglas | Nurse Practitioner | 349 Vo Tech Dr, Johnstown, PA 15904-2926 | 2018-02-16 |
| 1396275962 | Kelly Emswiler | Nurse Practitioner | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2017-06-15 |
| 1639613003 | Jessica Hernandez | Nurse Practitioner | 1111 Franklin St, Suite 130, Johnstown, PA 15905-4330 | 2016-12-05 |
| Find all providers in JOHNSTOWN | ||||
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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.