Individual provider Active NPI

Heather Belkowski

  • Licensed Practical Nurse
  • Clearfield, PA
National Provider Identifier
1083298756
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN257873L Issued in PA
Practice address
214 Airport Rd
Clearfield, PA 16830-6126
Phone
(814) 768-7575
NPI assigned
May 10, 2021
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN257873L PA Primary

Addresses

Primary practice location

214 Airport Rd
Clearfield, PA 16830-6126

Mailing address

214 Airport Rd
Clearfield, PA 16830-6126
Phone (814) 768-7575

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Heather.Belkowski@ctcprograms.com Discovery House CU, LLC
Other URL Clearfield

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

LicenseStateTypeSpecialty
PN257873LPAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery House Cu, LLC CurrentSince May 16, 2021 Accepting new patients

Locations

214 Airport Rd
Clearfield, PA 16830
Phone (814) 205-9900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1083298756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 AIRPORT RD",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168306126",
            "telephone_number": "814-768-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 AIRPORT RD",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168306126",
            "telephone_number": "814-768-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELKOWSKI",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN257873L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Heather.Belkowski@ctcprograms.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Discovery House CU, LLC",
            "address_1": "214 Airport Road",
            "city": "Clearfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168307022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Clearfield",
            "affiliation": "N",
            "address_1": "214 Airport Rd",
            "city": "Clearfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168306126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.