Individual provider Active NPI

Megan Lyn Maserati, CRNP

  • Nurse Practitioner
  • Altoona, PA
National Provider Identifier
1215331376
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP013885 Issued in PA
Practice address
2005 Valley View Blvd
Physical Rehabilitation Industrial & Sports Medicine
Altoona, PA 16602-4548
Phone
(814) 941-3388
Fax
(814) 941-3279
NPI assigned
Oct 20, 2014
Last updated
Oct 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP013885 PA Primary

Addresses

Primary practice location

2005 Valley View Blvd
Physical Rehabilitation Industrial & Sports Medicine
Altoona, PA 16602-4548

Mailing address

2005 Valley View Blvd
Physical Rehabilitation Industrial & Sports Medicine
Altoona, PA 16602-4548
Phone (814) 941-3388

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP013885PAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1215331376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 VALLEY VIEW BLVD",
            "address_2": "PHYSICAL REHABILITATION INDUSTRIAL & SPORTS MEDICINE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024548",
            "telephone_number": "814-941-3388",
            "fax_number": "814-941-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 VALLEY VIEW BLVD",
            "address_2": "PHYSICAL REHABILITATION INDUSTRIAL & SPORTS MEDICINE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024548",
            "telephone_number": "814-941-3388",
            "fax_number": "814-941-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASERATI",
        "first_name": "MEGAN",
        "middle_name": "LYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.