Michelle E Vitale, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA055876 Issued in PA

Practice address

10 Liberty LN
Latrobe, PA 15650-2772

Phone

(724) 552-3358

NPI assigned

Dec 4, 2012

Last updated

Jan 6, 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 names 1

• Michelle E Moss Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1932444866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LIBERTY LN",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156502772",
            "telephone_number": "724-552-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LIBERTY LN",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156502772",
            "telephone_number": "724-552-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "MICHELLE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MOSS",
            "middle_name": "E",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald Louis Valentine, DC
• Donna Van Dyke
• Lauralee Vargo, MA, ATR-BC, LPC
• Benjamin Varilek, ATC
• Camille Velazquez, PHD
• Vittone Eye Surgical Associates PC
• Vittone Eye Surgical Associates PC (Vittone Eye Surgical Associates)
• Jessica Shae Vittone, RN, BSN, FNP-S
• Michael A Vittone, MD
• Ronald B Vittone, MD

• Medical Physician Assistant in Latrobe, PA
• Providers in Latrobe, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.