Active NPI
Celeste Rebecca Nowosielski-Banks, PA-C
- Medical Physician Assistant
- York, PA
National Provider Identifier
1811224215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA054240
- Practice address
- 1001 S George St
2ND Floor
York, PA 17403-3676 - Phone
- (717) 851-2465
- Fax
- (717) 741-3043
- NPI assigned
- Nov 6, 2009
- Last updated
- Sep 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA054240 | PA | Primary |
Addresses
Primary practice location
1001 S George St
2ND Floor
York, PA 17403-3676
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-2465
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598479 | Other | PA | GATEWAY MEDICARE ASSURED |
| 2133903 | Other | PA | HIGHMARK BLUE SHIELD - FREEDOM BLUE |
Other names 1
- Celeste R Banks
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505174400000",
"number": "1811224215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-851-2465",
"fax_number": "717-741-3043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S GEORGE ST",
"address_2": "2ND FLOOR",
"city": "YORK",
"state": "PA",
"postal_code": "174033676",
"telephone_number": "717-851-2465",
"fax_number": "717-741-3043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWOSIELSKI-BANKS",
"first_name": "CELESTE",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-06",
"last_updated": "2017-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA054240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY MEDICARE ASSURED",
"identifier": "1598479",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD - FREEDOM BLUE",
"identifier": "2133903",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CELESTE",
"last_name": "BANKS",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.