Individual provider Active NPI

Judy Konchan

  • Registered Nurse
  • Altoona, PA
National Provider Identifier
1265167035
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN506020L Issued in PA
Practice address
501 Howard Ave Ste B
Altoona, PA 16601-4810
Phone
(181) 494-6541
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN506020L PA Primary

Addresses

Primary practice location

501 Howard Ave Ste B
Altoona, PA 16601-4810

Mailing address

501 Howard Ave Ste B
Altoona, PA 16601-4810
Phone (181) 494-6541

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMCNurseFamilyPartnershipHNA@upmcdirect.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN506020LPAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1265167035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE STE B",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014810",
            "telephone_number": "181-494-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE STE B",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014810",
            "telephone_number": "181-494-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONCHAN",
        "first_name": "JUDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN506020L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCNurseFamilyPartnershipHNA@upmcdirect.com",
            "affiliation": "N",
            "address_1": "501 Howard Ave Ste B",
            "city": "Altoona",
            "state": "PA",
            "country_code": "US",
            "postal_code": "166014810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.