Active NPI
Katrina L Sani, CRNP
- Family Nurse Practitioner
- Bridgeville, PA
National Provider Identifier
1235680083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP017011
- Practice address
- 850 Boyce Rd Ste 2
Bridgeville, PA 15017-1541 - Phone
- (724) 263-9322
- Fax
- (724) 942-3178
- NPI assigned
- Oct 17, 2016
- Last updated
- Apr 2, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP017011 | PA | Primary |
Addresses
Primary practice location
850 Boyce Rd Ste 2
Bridgeville, PA 15017-1541
Mailing address
5140 Liberty Ave FL 2
Pittsburgh, PA 15224-2215
Phone (412) 578-3306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103233410 | Medicaid | PA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP017011 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1235680083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 LIBERTY AVE FL 2",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152242215",
"telephone_number": "412-578-3306",
"fax_number": "412-605-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 BOYCE RD STE 2",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150171541",
"telephone_number": "724-263-9322",
"fax_number": "724-942-3178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANI",
"first_name": "KATRINA",
"middle_name": "L",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-17",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP017011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103233410",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.