Active NPI
Kathleen Kanotz, CRNP
- Nurse Practitioner
- Bethel Park, PA
National Provider Identifier
1235125832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP008287
- Practice address
- 60 Highland Road
Bethel Park, PA 15102 - Phone
- (412) 831-6050
- Fax
- (412) 831-7465
- NPI assigned
- Sep 20, 2005
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP008287 | PA | Primary |
Addresses
Primary practice location
60 Highland Road
Bethel Park, PA 15102
Mailing address
110 Willow Lane
Houston, PA 15342
Phone (724) 745-8234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KA1735077 | Other | PA | BLUE SHIELD |
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235125832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WILLOW LANE",
"city": "HOUSTON",
"state": "PA",
"postal_code": "15342",
"telephone_number": "724-745-8234",
"fax_number": "412-831-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HIGHLAND ROAD",
"city": "BETHEL PARK",
"state": "PA",
"postal_code": "15102",
"telephone_number": "412-831-6050",
"fax_number": "412-831-7465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANOTZ",
"first_name": "KATHLEEN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP008287",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "KA1735077",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethel Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.