Organization Active NPI

Living the Green

  • Nurse Practitioner
  • Archbald, PA
National Provider Identifier
1053879940
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
LIVING THE GREEN
Doing business as
Sustain Health
Practice address
106 Wisteria LN
Archbald, PA 18403-1980
Phone
(570) 840-1952
NPI assigned
Mar 9, 2019
Organization subpart
Yes
Parent organization
SUSTAIN HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Deana Marie Vaverchak, CRNPNPI 1558733089
Title
President
Phone
(570) 840-1952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

106 Wisteria LN
Archbald, PA 18403-1980

Mailing address

106 Wisteria LN
Archbald, PA 18403-1980
Phone (570) 840-1952

Other names 1

  • Sustain Health Doing business as

National Provider Directory

National Provider Directory
Part of
Living the Green

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1053879940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WISTERIA LN",
            "city": "ARCHBALD",
            "state": "PA",
            "postal_code": "184031980",
            "telephone_number": "570-840-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WISTERIA LN",
            "city": "ARCHBALD",
            "state": "PA",
            "postal_code": "184031980",
            "telephone_number": "570-840-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING THE GREEN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUSTAIN HEALTH",
        "enumeration_date": "2019-03-09",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "VAVERCHAK",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-840-1952",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sustain Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sustain Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Archbald, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.