Organization Active NPI

Central Pennsylvania Health & Wellness, LLC

  • Family Nurse Practitioner
  • Philipsburg, PA
National Provider Identifier
1225666563
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CENTRAL PENNSYLVANIA HEALTH & WELLNESS, LLC
Practice address
1114 Walton St Ste a
Philipsburg, PA 16866-2748
Phone
(814) 577-7856
Fax
(814) 342-5815
NPI assigned
Mar 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Mrs. Becky Jo McCord, FNP, CRNP
Title
Provider/Co Owner
Phone
(814) 577-7856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1114 Walton St Ste a
Philipsburg, PA 16866-2748

Mailing address

1114 Walton St Ste a
Philipsburg, PA 16866-2748
Phone (814) 577-7856

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://webservice.kareo.com/services/soap/2.1/ Direct

National Provider Directory

National Provider Directory

Locations

1114 Walton St
Ste A
Philipsburg, PA 16866
Phone (814) 577-7856

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1225666563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 WALTON ST STE A",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662748",
            "telephone_number": "814-577-7856",
            "fax_number": "814-342-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 WALTON ST STE A",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662748",
            "telephone_number": "814-577-7856",
            "fax_number": "814-342-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PENNSYLVANIA HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "MCCORD",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PROVIDER/CO OWNER",
        "authorized_official_telephone_number": "814-577-7856",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP, CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://webservice.kareo.com/services/soap/2.1/",
            "affiliation": "N",
            "endpointDescription": "Kareo",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1114 Walton St Ste A",
            "city": "Philipsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168662748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philipsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.