NPIMap

Organization Active NPI

Allegheny Health Network

  • Family Nurse Practitioner
  • Slippery Rock, PA
National Provider Identifier
1245775774
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016893 Issued in PA
Legal business name
ALLEGHENY HEALTH NETWORK
Practice address
621 Kelly Blvd
Slippery Rock, PA 16057-8523
Phone
(724) 774-4009
Fax
(724) 794-4099
NPI assigned
Dec 19, 2016
Last updated
Dec 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Lucinda Yeager
Title
Office Manager
Phone
(724) 794-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP016893 PA Primary

Addresses

Primary practice location

621 Kelly Blvd
Slippery Rock, PA 16057-8523

Mailing address

621 Kelly Blvd
PO Box 143
Slippery Rock, PA 16057-8523
Phone (724) 774-4009

Other names 1

  • Slippery Rock Primary Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Aspn Allegheny Gastro81 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1245775774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 KELLY BLVD",
            "address_2": "PO BOX 143",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160578523",
            "telephone_number": "724-774-4009",
            "fax_number": "724-794-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 KELLY BLVD",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160578523",
            "telephone_number": "724-774-4009",
            "fax_number": "724-794-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "YEAGER",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-794-4009"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Slippery Rock Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Slippery Rock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.