Scottdale Family Health

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP011981 Issued in PA

Legal business name

SCOTTDALE FAMILY HEALTH

Practice address

103 Market St
Scottdale, PA 15683-2047

Phone

(724) 797-0014

NPI assigned

Jun 10, 2013

Organization subpart

No

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

Authorized official

Name

Jonathan Luker, CRNP

Title

Owner

Phone

(724) 797-0014

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1003254343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MARKET ST",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832047",
            "telephone_number": "724-797-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MARKET ST",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832047",
            "telephone_number": "724-797-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTDALE FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "LUKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-797-0014",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Diane Ray, NP
• Vanessa Lynn Richards, PHARMD
• Rite Aid of Pennsylvania LLC
• Robert W. Taylor
• Brandi Schweizer, LSW
• Scottdale Healthcare Operating LLC
• Scottdale Manor Rehabilitation Center LLC
• Scottdale PA Opco LLC
• Scottdale Pharmacy Inc
• David Alan Shepeck, OTR/L

• Family Nurse Practitioner in Scottdale, PA
• Providers in Scottdale, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.