Active NPI
Theresa M Kisiel, CRNP
- Nurse Practitioner
- Erie, PA
National Provider Identifier
1902802440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- VP005796B
- Practice address
- 120 E 2ND St
Ste 2
Erie, PA 16507-1537 - Phone
- (817) 456-8980
- Fax
- (814) 451-0443
- NPI assigned
- Jun 21, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | VP005796B | PA | Primary |
Addresses
Primary practice location
120 E 2ND St
Ste 2
Erie, PA 16507-1537
Mailing address
120 E 2ND St
Ste 2
Erie, PA 16507-1537
Phone (817) 456-8980
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VP005796B | PA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902802440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E 2ND ST",
"address_2": "STE 2",
"city": "ERIE",
"state": "PA",
"postal_code": "165071537",
"telephone_number": "817-456-8980",
"fax_number": "814-451-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E 2ND ST",
"address_2": "STE 2",
"city": "ERIE",
"state": "PA",
"postal_code": "165071537",
"telephone_number": "817-456-8980",
"fax_number": "814-451-0443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISIEL",
"first_name": "THERESA",
"middle_name": "M",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "VP005796B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.