Active NPI
Joann Nickleach
- Pediatrics Physician
- Kittanning, PA
National Provider Identifier
1174526388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD048229L
- Practice address
- 1 Nolte Dr
Ste 170
Kittanning, PA 16201-7111 - Phone
- (724) 548-2283
- NPI assigned
- May 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD048229L | PA | Primary |
Addresses
Primary practice location
1 Nolte Dr
Ste 170
Kittanning, PA 16201-7111
Mailing address
11289 Perry Hwy
Ste 450
Wexford, PA 15090-9308
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | joanne.nickleach@upmcdirect.com | UPMC |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD048229L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Community Pediatrics | Pediatrics | Past | Accepting new patients |
| Armstrong County Memorial Hospital | Past | Accepting new patients | |
| Armstrong County Memorial Hospital | Past | Accepting new patients | |
| Children'S Community Care | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- joanne.nickleach@upmcdirect.com
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Kittanning, PA
- NPI 1568577724
-
- Hospitalist Physician
- Kittanning, PA
- NPI 1831387018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1174526388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11289 PERRY HWY",
"address_2": "STE 450",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 NOLTE DR",
"address_2": "STE 170",
"city": "KITTANNING",
"state": "PA",
"postal_code": "162017111",
"telephone_number": "724-548-2283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKLEACH",
"first_name": "JOANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD048229L",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "joanne.nickleach@upmcdirect.com",
"affiliation": "Y",
"affiliationName": "UPMC",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kittanning, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.