Individual provider Active NPI

Kathleen M Janosco, CRNP

  • Gerontology Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1053967950
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP020704 Issued in PA
Practice address
320 E North Ave FL 6
Pittsburgh, PA 15212-4756
Phone
(412) 359-6200
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP020704 PA
Gerontology Nurse Practitioner 363LG0600X SP020704 PA Primary

Addresses

Primary practice location

320 E North Ave FL 6
Pittsburgh, PA 15212-4756

Mailing address

320 E North Ave FL 6
Pittsburgh, PA 15212-4756
Phone (412) 359-6200

Other identifiers 1

IdentifierTypeStateIssuer
14602185OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kjanosco248083@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200128001855 PA Practitioner - Nurse Practitioner 9931535630 Reassigns benefits to 2 organizations
I20240624004060 OH Practitioner - Nurse Practitioner 9931535630 Reassigns benefits to 1 organization
I20250327000458 WV Practitioner - Nurse Practitioner 9931535630 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020704PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Dec 12, 2019 Accepting new patients
Allegheny Clinic CurrentSince Dec 12, 2019 Accepting new patients
Allegheny Clinic Current Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Aug 10, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

1001 9th Ave
Brackenridge, PA 15014

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

6998 Crider Rd
Ste 210
Mars, PA 16046
Phone (724) 741-0490

320 E North Ave
Ste 208
Pittsburgh, PA 15212

320 E North Ave
Fl 6
Pittsburgh, PA 15212
Phone (412) 359-6110

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • Direct secure messaging: kjanosco248083@direct.ahn.org

Organizations & group practices 7

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1053967950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE FL 6",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE FL 6",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOSCO",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020704",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP020704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14602185",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjanosco248083@direct.ahn.org",
            "affiliation": "N",
            "address_1": "320 E North Ave Fl 6",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.