Individual provider Active NPI

Desiree Lynn Vazquez, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1043976848
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP024676 Issued in PA
Practice address
4800 Friendship Ave Ste 1600
Pittsburgh, PA 15224-1722
Phone
(412) 578-4048
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP024676 PA Primary
Women's Health Nurse Practitioner 363LW0102X SP024676 PA

Addresses

Primary practice location

4800 Friendship Ave Ste 1600
Pittsburgh, PA 15224-1722

Mailing address

4800 Friendship Ave Ste 1600
Pittsburgh, PA 15224-1722
Phone (412) 578-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927001057 PA Practitioner - Nurse Practitioner 0840676920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Regional Medical Center CurrentSince Jul 17, 2023 Accepting new patients
Allegheny Clinic CurrentSince Jun 17, 2022 Accepting new patients
Allegheny Clinic Psychiatric/Mental Health CurrentSince Jun 17, 2022 Accepting new patients
Jefferson Regional Medical Center CurrentSince Jul 17, 2023 Accepting new patients
Allegheny Clinic Current Accepting new patients

Locations

4800 Friendship Ave
Ste 1600
Pittsburgh, PA 15224
Phone (412) 578-4030

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

4 Allegheny Ctr
Fl 8
Pittsburgh, PA 15212
Phone (412) 330-4242

4800 Friendship Ave
Fl 2
Pittsburgh, PA 15224
Phone (412) 578-4089

810 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 466-5004

Interoperability endpoints

  • Direct secure messaging: dvazquez444219@direct.ahn.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1043976848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 FRIENDSHIP AVE STE 1600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241722",
            "telephone_number": "412-578-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 FRIENDSHIP AVE STE 1600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241722",
            "telephone_number": "412-578-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "DESIREE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024676",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP024676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.