Individual provider Active NPI

Alyssa Sheftick, LPN

  • Licensed Practical Nurse
  • Cranberry TWP, PA
National Provider Identifier
1013473289
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN295450 Issued in PA
Practice address
900 Commonwealth Dr
Cranberry TWP, PA 16066-5019
Phone
(724) 742-3500
Fax
(724) 741-3122
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN295450 PA Primary

Addresses

Primary practice location

900 Commonwealth Dr
Cranberry TWP, PA 16066-5019

Mailing address

900 Commonwealth Dr
Cranberry TWP, PA 16066-5019
Phone (724) 742-3500

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
PN295450PAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1013473289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COMMONWEALTH DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665019",
            "telephone_number": "724-742-3500",
            "fax_number": "724-741-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COMMONWEALTH DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665019",
            "telephone_number": "724-742-3500",
            "fax_number": "724-741-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFTICK",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN295450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.