Active NPI
Tisa Leann Schreiber, RN
- Registered Nurse
- Bedford, PA
National Provider Identifier
1053935700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN587256
- Practice address
- 9709 Lincoln Hwy
Bedford, PA 15522-3717 - Phone
- (814) 623-3220
- NPI assigned
- May 28, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN587256 | PA | Primary |
Addresses
Primary practice location
9709 Lincoln Hwy
Bedford, PA 15522-3717
Mailing address
9709 Lincoln Hwy
Bedford, PA 15522-3717
Phone (814) 623-3220
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CommunityLifeBedford@upmcdirect.com |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN587256 | PA | MD | Registered Nurse |
Interoperability endpoints
- communitylifebedford@upmcdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1053935700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9709 LINCOLN HWY",
"city": "BEDFORD",
"state": "PA",
"postal_code": "155223717",
"telephone_number": "814-623-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9709 LINCOLN HWY",
"city": "BEDFORD",
"state": "PA",
"postal_code": "155223717",
"telephone_number": "814-623-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREIBER",
"first_name": "TISA",
"middle_name": "LEANN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-28",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN587256",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CommunityLifeBedford@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "Community LIFE Center Direct Address",
"address_1": "9709 Lincoln Hwy",
"city": "Bedford",
"state": "PA",
"country_code": "US",
"postal_code": "155223717",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bedford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.