Individual provider Active NPI

David Kieta, CRNP

  • Family Nurse Practitioner
  • Uniontown, PA
National Provider Identifier
1194062109
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012577 Issued in PA
Practice address
100 New Salem Rd
Suite 116
Uniontown, PA 15401-8936
Phone
(724) 437-0729
Fax
(724) 437-2761
NPI assigned
Jan 10, 2013
Last updated
May 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP012577 PA
Family Nurse Practitioner 363LF0000X SP012577 PA Primary

Addresses

Primary practice location

100 New Salem Rd
Suite 116
Uniontown, PA 15401-8936

Mailing address

100 New Salem Rd
Suite 116
Uniontown, PA 15401-8936
Phone (724) 437-0729

Other identifiers 1

IdentifierTypeStateIssuer
1028014890002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130415000300 PA Practitioner - Nurse Practitioner 3779729934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chestnut Ridge Counseling Services IncGroup PAC ID 1254226376, 29 clinicians

Practice addresses (Care Compare)

100 New Salem Rd
Suite 116
Uniontown, PA 15401-8936
Phone (724) 437-0729

1321 Connellsville Rd
Lemont Furnace, PA 15456-1009
Phone (724) 437-0729

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Ridge Counseling Services Inc CurrentSince Nov 18, 2013 Accepting new patients

Locations

100 New Salem Rd
Ste 116
Uniontown, PA 15401

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1194062109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NEW SALEM RD",
            "address_2": "SUITE 116",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018936",
            "telephone_number": "724-437-0729",
            "fax_number": "724-437-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEW SALEM RD",
            "address_2": "SUITE 116",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018936",
            "telephone_number": "724-437-0729",
            "fax_number": "724-437-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIETA",
        "first_name": "DAVID",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-10",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP012577",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028014890002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.