Active NPI
Wendy Tymoczko
- Family Nurse Practitioner
- Monroeville, PA
National Provider Identifier
1033207683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- TP005530W
- Practice address
- 4011 William Penn Highway
Monroeville, PA 15146 - Phone
- (866) 825-3227
- Fax
- (484) 351-3800
- NPI assigned
- Oct 10, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TP005530W | PA | Primary |
Addresses
Primary practice location
4011 William Penn Highway
Monroeville, PA 15146
Mailing address
161 Washington Street
Eight Tower Bridge, Suite 1400
Conshohocken, PA 19428
Phone (484) 351-3200
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sto-Rox Neighborhood Health Council, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- McKees Rocks, PA
- NPI 1154354553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033207683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 WASHINGTON STREET",
"address_2": "EIGHT TOWER BRIDGE, SUITE 1400",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "19428",
"telephone_number": "484-351-3200",
"fax_number": "484-351-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 WILLIAM PENN HIGHWAY",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "15146",
"telephone_number": "866-825-3227",
"fax_number": "484-351-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYMOCZKO",
"first_name": "WENDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "TP005530W",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.