Individual provider Active NPI

Donna B. Gisleson, MSN, CRNP

  • Nurse Practitioner
  • Canonsburg, PA
National Provider Identifier
1356341374
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
VP004870B Issued in PA
Practice address
1900 Waterdam Plaza Dr BLDG 32ND
Canonsburg, PA 15317-5442
Phone
(724) 941-7490
Fax
(724) 941-5231
NPI assigned
Aug 1, 2005
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X VP004870B PA Primary

Addresses

Primary practice location

1900 Waterdam Plaza Dr BLDG 32ND
Canonsburg, PA 15317-5442

Mailing address

1900 Waterdam Plaza Dr BLDG 32ND
Canonsburg, PA 15317-5442
Phone (724) 941-7490

Other names 1

  • Ms. Donna Todaro Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dgisleson21093@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
VP004870BPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dgisleson@direct.excelahealth.org
  • Direct secure messaging: dgisleson21093@direct.ahn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1356341374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WATERDAM PLAZA DR BLDG 32ND",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153175442",
            "telephone_number": "724-941-7490",
            "fax_number": "724-941-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WATERDAM PLAZA DR BLDG 32ND",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153175442",
            "telephone_number": "724-941-7490",
            "fax_number": "724-941-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISLESON",
        "first_name": "DONNA",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "VP004870B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgisleson21093@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1900 Waterdam Plaza Dr Bldg 32nd",
            "city": "Canonsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153175442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "TODARO",
            "prefix": "MS.",
            "credential": "MSN, CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.