Debra Formo, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN569424 Issued in PA

Practice address

7165 Churchland St
Pittsburgh, PA 15206-1217

Phone

(412) 441-5191

NPI assigned

May 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: debra.formo@upmcdirect.com

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1093564197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7165 CHURCHLAND ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061217",
            "telephone_number": "412-441-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 CHURCHLAND ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061217",
            "telephone_number": "412-441-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMO",
        "first_name": "DEBRA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "RN569424",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN569424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Formaini, D.O.
• Daniel Forman
• Kyra Forman
• Steven D Forman, M.D., PH.D.
• Cassandra Formeck
• Marisa Fornadel
• Melissa Lynn Forney, MSLP CCC/SLP
• Amber Marie Sabbatini Foronda, D.M.D.
• Nestor Foronda, D.M.D.
• Anne Aisha Forrest, MSED

• Psychiatric/Mental Health Registered Nurse in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychiatric/Mental Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.