Debra Lyn Ardizzone, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN258542L Issued in PA

Practice address

1402 9TH Ave
Altoona, PA 16602-2415

Phone

(814) 940-2000

Fax

(814) 569-1878

NPI assigned

Oct 13, 2006

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 names 1

• Miss Debra Lyn Tavela Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821188798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 COLERIDGE AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023111",
            "telephone_number": "814-944-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 9TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022415",
            "telephone_number": "814-940-2000",
            "fax_number": "814-569-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDIZZONE",
        "first_name": "DEBRA",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN258542L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "TAVELA",
            "middle_name": "LYN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Appalachia Intermediate Unit
• Appalachia Intermediate Unit
• Leila S Arani, MD
• Alicia Archangelo, PT
• Marcella Arcurio, CCC-SLP
• Samantha Marie Arens-Ennis, PA-C
• Jeffrey Brandon Armstrong, MD
• Myra Somtoch Arth-Oguguah, M.D
• Morgan Taylor Ashbaugh
• Deborah Jean Askey, CRNP

• Licensed Practical Nurse in Altoona, PA
• Providers in Altoona, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.