Active NPI
Sarah Rendulic
- Psychiatric/Mental Health Nurse Practitioner
- Pittsburgh, PA
National Provider Identifier
1083284830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP025717
- Practice address
- 200 Lothrop St
Pittsburgh, PA 15213-2536 - Phone
- (412) 246-5619
- NPI assigned
- Jun 24, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP025717 | PA | Primary |
Addresses
Primary practice location
200 Lothrop St
Pittsburgh, PA 15213-2536
Mailing address
5828 Alder St Apt 3
Pittsburgh, PA 15232-3901
Phone (412) 657-3987
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP025717 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1083284830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5828 ALDER ST APT 3",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152323901",
"telephone_number": "412-657-3987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LOTHROP ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132536",
"telephone_number": "412-246-5619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDULIC",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-24",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP025717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
- Renal Endocrine Associates (Partners in Nephrology & Endocrinology)
- Renal Treatment Centers Mid Atlantic Inc (Avonworth Dialysis)
- Renal Treatment Centers Mid Atlantic Inc (Montour Dialysis)
- Michaela Rendina
- Nicholas William Rendulic
- Renewal Treatment, Inc.
- Renewal, Inc. (Renewal Treatment, Inc.)
- Renewl, Inc. (Renewal Treatment, Inc.)
- Renex Dialysis Clinic of Penn Hills, Inc. (RCG Penn Hills)
- Renex Dialysis Clinic of Pittsburgh, Inc. (RCG Pittsburgh)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.