Individual provider Active NPI

Relda Willey, CRNP

  • School Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1003366410
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Nurse PractitionerTaxonomy code 363LS0200X
License
UP006618W Issued in PA
Practice address
845 McLain St
Pittsburgh, PA 15210-1043
Phone
(412) 529-6623
Fax
(412) 224-4742
NPI assigned
Oct 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X UP006618W PA Primary

Addresses

Primary practice location

845 McLain St
Pittsburgh, PA 15210-1043

Mailing address

341 S Bellefield Ave
Room 430
Pittsburgh, PA 15213-3552
Phone (412) 529-6623

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

LicenseStateTypeSpecialty
UP006618WPAMDSchool Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1003366410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 S BELLEFIELD AVE",
            "address_2": "ROOM 430",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133552",
            "telephone_number": "412-529-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 MCLAIN ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152101043",
            "telephone_number": "412-529-6623",
            "fax_number": "412-224-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "RELDA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "PA",
            "license": "UP006618W",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

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