Nancy Dannibale West, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA003150L Issued in PA

Practice address

2005 Fairview Ave
Suite a
Easton, PA 18042-3915

Phone

(610) 923-5200

Fax

(610) 923-5272

NPI assigned

Oct 17, 2006

Last updated

Jan 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1760562144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 FAIRVIEW AVE",
            "address_2": "SUITE A",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423915",
            "telephone_number": "610-923-5200",
            "fax_number": "610-923-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "NANCY",
        "middle_name": "DANNIBALE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA003150L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "2005040",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50075002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin William Wells, DO
• Susan Wenze, PH.D.
• Erika Werner, LSW
• Wesley P Kozinn MD PC (Valley Infectious Disease Spec LTD)
• Laurie West, PA-C
• Weston Paxxon PT, OT, SLP PLLC
• Weston Rehabilitation Pennsylvania LLC (The Village at Sullivan Trail)
• Joseph Craig White
• Laura Regan White, SLP-CCC
• Melanie White

• Surgical Physician Assistant in Easton, PA
• Providers in Easton, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.