Kathleen Heresco, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

RN571778 Issued in PA

Practice address

5231 Penn Ave
1St Floor
Pittsburgh, PA 15224-1768

Phone

(412) 204-9100

Fax

(412) 204-9132

NPI assigned

May 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1295095107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 PENN AVE",
            "address_2": "1ST FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241768",
            "telephone_number": "412-204-9100",
            "fax_number": "412-204-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 PENN AVE",
            "address_2": "1ST FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241768",
            "telephone_number": "412-204-9100",
            "fax_number": "412-204-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERESCO",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "RN571778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Herbster, PHARMD
• Lindsey Herd
• Gretchen Renee Herda, CRNP
• Kiana Heredia, MD
• Edward Heres
• Jennifer Herford
• Andrea Hergenroeder, PT
• Camellia Ann Herisko
• Heritage Valley Medical Group Inc
• Heritage Valley Medical Group, Inc.

• Adult Psychiatric/Mental Health Registered Nurse in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.