Individual provider Active NPI

Crista Brackley, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Pittsburgh, PA
National Provider Identifier
1063195394
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
RN582041 Issued in PA
Practice address
615 Alpha Dr
Pittsburgh, PA 15238-2832
Phone
(412) 820-2050
NPI assigned
Aug 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN582041 PA Primary

Addresses

Primary practice location

615 Alpha Dr
Pittsburgh, PA 15238-2832

Mailing address

2366 Golden Mile Hwy
PMB 253
Pittsburgh, PA 15239
Phone (412) 897-5782

Other practice location 1

200 Stevens Dr Ste 350
Philadelphia, PA 19113-1541
Phone (855) 447-0048

Other practice location 2

2380 McGinley Rd
Monroeville, PA 15146-4400
Phone (844) 242-7956

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

LicenseStateTypeSpecialty
RN582041PAMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1063195394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 GOLDEN MILE HWY",
            "address_2": "PMB 253",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15239",
            "telephone_number": "412-897-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 ALPHA DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382832",
            "telephone_number": "412-820-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Stevens Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191131541",
            "country_code": "US",
            "telephone_number": "855-447-0048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2380 McGinley Rd",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151464400",
            "country_code": "US",
            "telephone_number": "844-242-7956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACKLEY",
        "first_name": "CRISTA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "RN582041",
            "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 Aug 11, 2023; 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.