Ann Isaacs, RN, CNS

Key facts

NPI

1003260944

Entity type

Individual (NPI type 1)

Primary specialty

Adult Psychiatric/Mental Health Registered Nurse 163WP0809X

License

RN176826L (PA)

Practice address

1425 Shoemaker Ave
West Wyoming, PA 18644-1020

Phone

(570) 718-1996

Fax

(570) 718-1997

NPI assigned

Apr 18, 2016

Sex

Female

Sole proprietor

No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saxon Psychiatric Services P.C. Psychiatry Physician · Kingston, PA · NPI 1861579203
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 18, 2016.

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1003260944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 SHOEMAKER AVE",
            "city": "WEST WYOMING",
            "state": "PA",
            "postal_code": "186441020",
            "telephone_number": "570-718-1996",
            "fax_number": "570-718-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 SHOEMAKER AVE",
            "city": "WEST WYOMING",
            "state": "PA",
            "postal_code": "186441020",
            "telephone_number": "570-718-1996",
            "fax_number": "570-718-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "ANN",
        "credential": "RN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "RN176826L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in West Wyoming, PA · Adult Psychiatric/Mental Health Registered Nurse in Pennsylvania