Individual provider Active NPI

Rebecca Miklos, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1053453704
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
VP001698G Issued in PA
Practice address
3380 Blvd of the Allies
Suite 1
Pittsburgh, PA 15213-3125
Phone
(412) 621-7575
Fax
(412) 621-7655
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X VP001698G PA Primary

Addresses

Primary practice location

3380 Blvd of the Allies
Suite 1
Pittsburgh, PA 15213-3125

Mailing address

3380 Blvd of the Allies
Suite 1
Pittsburgh, PA 15213-3125
Phone (412) 621-7575

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

State licenses

LicenseStateTypeSpecialty
VP001698GPAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrical & Gynecological Assoc of Pittsburgh, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rmiklos@direct.excelahealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053453704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 BLVD OF THE ALLIES",
            "address_2": "SUITE 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133125",
            "telephone_number": "412-621-7575",
            "fax_number": "412-621-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 BLVD OF THE ALLIES",
            "address_2": "SUITE 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133125",
            "telephone_number": "412-621-7575",
            "fax_number": "412-621-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLOS",
        "first_name": "REBECCA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "VP001698G",
            "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 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.

Verify at the official NPI Registry.