Active NPI
Katybeth McClelland, CRNP
- Nurse Practitioner
- Pittsburgh, PA
National Provider Identifier
1235528373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP014343
- Practice address
- 4800 Friendship Ave FL 3
Pittsburgh, PA 15224-1722 - Phone
- (412) 578-5858
- Fax
- (412) 578-1529
- NPI assigned
- Jan 13, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | SP014343 | PA | |
| Nurse Practitioner | 363L00000X | SP014343 | PA | Primary |
Addresses
Primary practice location
4800 Friendship Ave FL 3
Pittsburgh, PA 15224-1722
Mailing address
4800 Friendship Ave FL 3
Pittsburgh, PA 15224-1722
Phone (412) 578-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103114204 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmcclelland133789@direct.ahn.org |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160725002328 | PA | Order and Referring Only - Nurse Practitioner | 7315230646 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Emergency Medicine Inc | Past | Accepting new patients |
Interoperability endpoints
- kmcclelland133789@direct.ahn.org
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1891744041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1235528373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 FRIENDSHIP AVE FL 3",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241722",
"telephone_number": "412-578-5858",
"fax_number": "412-578-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 FRIENDSHIP AVE FL 3",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241722",
"telephone_number": "412-578-5858",
"fax_number": "412-578-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAND",
"first_name": "KATYBETH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "PA",
"license": "SP014343",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP014343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103114204",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmcclelland133789@direct.ahn.org",
"affiliation": "N",
"address_1": "4800 Friendship Ave Fl 3",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152241722",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pittsburgh, PA
- Persephone Diane McClatchey
- Emma Morgan McCleery, OTD
- Connor Ross McClellan
- Tatyana McClellan
- Erin Rochele McClelland, MS
- Malcolm Curran McClenahan
- Brandon Fitzgerald McClendon, MS, ATC, LAT, PES,
- Michael Patrick McClincy, M.D.
- Marta Suzanne McClintock-Comeaux, PHD, MSW, LSW
- Patrick McClintock-Comeaux, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.