Individual provider Active NPI

Nicole Leigh Wasilko, RN

  • Health Service Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1275968885
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
RN584423 Issued in PA
Practice address
600 Forbes Avuenue
2ND Floor
Pittsburgh, PA 15282-0001
Phone
(412) 396-1650
NPI assigned
Sep 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X RN584423 PA Primary

Addresses

Primary practice location

600 Forbes Avuenue
2ND Floor
Pittsburgh, PA 15282-0001

Mailing address

600 Forbes Ave
2ND Floor
Pittsburgh, PA 15219-3016

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN584423PAMDHealth Service Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Duquesne University of the Holy Spirit Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1275968885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FORBES AVE",
            "address_2": "2ND FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152193016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FORBES AVUENUE",
            "address_2": "2ND FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152820001",
            "telephone_number": "412-396-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASILKO",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PA",
            "license": "RN584423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.