MS. ASHLEY C PRUGER (NPI# 1881164440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881164440 |
| Entity Type | Individual |
| Full Name | MS. ASHLEY C PRUGER |
| Other Name | MISS ASHLEY C MATTILIO |
| Credential | CRNP |
| Practice Address |
879 Hospital Road Indiana PA 15774 |
| Mailing Address |
640 Kolter Drive Indiana PA 15701 |
| Practice Telephone | 7243577000 |
| Mailing Telephone | 7243577234 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
SP019521 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | NP LICENSE | SP019521 | 01 |
| PA | RN LICENSE | RN635653 | 01 |
| Street Address |
879 HOSPITAL ROAD |
| City | INDIANA |
| State | PA |
| Zip Code | 15774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063998490 | Suzanne Eileen Cole | Pharmacist | 9605 Us Rte 422w, Shelocta, PA 15774 | 2018-07-18 |
| 1962595736 | Alan Richardson Reefer | Chiropractor | 9355 Rt 422 Hwy W, Shelocta, PA 15774 | 2006-10-02 |
| 1790790640 | Klingensmith Elderton Inc. | Pharmacy | 9605 Us Rt 422 Hwy West, Shelocta, PA 15774-0165 | 2006-07-29 |
| 1578612792 | Armstrong Indiana Drug Alcohol Commission | Point of Service | 10829 Us Route 422, Shelocta, PA 15774-2236 | 2007-01-09 |
| 1346288677 | Mary Bennett | Occupational Therapist | 136 Idaho Rd, Shelocta, PA 15774-3013 | 2006-06-02 |
| 1831710797 | Randy Meyer | Pharmacist | 450 Windy Flats Rd, Shelocta, PA 15774-3107 | 2020-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284042 | David C Lucas | Pharmacist | 3100 Oakland Ave Ste 1c, Indiana, PA 15701-3277 | 2020-10-27 |
| 1497352017 | Jason Myers | Nurse Practitioner | 1070 Wayne Ave, Indiana, PA 15701-2951 | 2020-10-06 |
| 1699386987 | Margaret C Mill | Pharmacist | 73 Morningside Dr, Indiana, PA 15701-3613 | 2020-08-11 |
| 1053929034 | East Market Family Dental, Pllc | Dentist | 1177 S 6th St Ste E, Indiana, PA 15701-3759 | 2020-07-16 |
| 1265057525 | Cristiana Ashley Michele | Student in an Organized Health Care Education/Training Program | 190 Twolick Dr, Indiana, PA 15701-2255 | 2020-06-12 |
| 1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
| 1023639556 | Mark W Boyd | Nurse Practitioner | 151 Mill Run Dr, Indiana, PA 15701-1533 | 2020-05-06 |
| 1518595586 | Evan Schreyer | Specialist/Technologist | 660 S 11th Street, Indiana, PA 15705-0001 | 2020-03-27 |
| 1285267690 | Kathryn Ann Valazak | Nurse Practitioner | 850 Hospital Rd Ste 2200, Indiana, PA 15701-3663 | 2020-02-14 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| Find all providers in INDIANA | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518473602 | Stephanie Jo Wingerter | Nurse Practitioner | 841 Hospital Rd Ste 2400, Indiana, PA 15701-3699 | 2017-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820622 | Diyong S Graham | Nurse Practitioner | 2812 Tremont St, Philadelphia, PA 19136-1025 | 2020-10-26 |
| 1457967499 | Rpg Health | Nurse Practitioner | 332 Frenchtown Rd, Milford, PA 18337-9004 | 2020-09-16 |
| 1427666759 | Arevik Bagdasarova | Nurse Practitioner | 312 W Providence Rd, Aldan, PA 19018-3830 | 2020-07-22 |
| 1346861978 | Christine Martinez | Nurse Practitioner | 2 W Baltimore Ave Ste 101, Media, PA 19063-3740 | 2020-05-05 |
| 1720608490 | Jaci Trosky | Nurse Practitioner | 2824 Enon Rd, Enon Valley, PA 16120-1454 | 2020-04-22 |
| 1750910808 | Alpha Integrated Clinic | Nurse Practitioner | 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 | 2020-04-01 |
| 1427681394 | Hwayoung Kim | Nurse Practitioner | 315 New St Apt 403, Philadelphia, PA 19106-1135 | 2020-02-19 |
| 1720624539 | Patrice Carver Cash | Nurse Practitioner | 539 Chain St, Norristown, PA 19401-4607 | 2019-11-27 |
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1528601739 | Ashley Lynn Swartz | Nurse Practitioner | 390 Gates St, Johnstown, PA 15906-1906 | 2019-10-21 |
| 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.