Organization Active NPI

Associates in Family Health Care Inc.

  • Family Nurse Practitioner
  • Slickville, PA
National Provider Identifier
1326213067
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
UP001497B Issued in PA
Legal business name
ASSOCIATES IN FAMILY HEALTH CARE INC.
Practice address
3021 Emilio Center
Suite 3
Slickville, PA 15684-0160
Phone
(724) 468-4099
Fax
(724) 468-3370
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Catherine Grant, MSN CRNPNPI 1700892817
Title
Nurse Practitioner
Phone
(724) 468-4099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X UP001497B PA Primary

Addresses

Primary practice location

3021 Emilio Center
Suite 3
Slickville, PA 15684-0160

Mailing address

3021 Emilio Center
Suite 3
Slickville, PA 15684-0160
Phone (724) 468-4099

Other identifiers 2

IdentifierTypeStateIssuer
83048MedicaidPA
AS660803OtherBLUE CROSS S GROUP NUMBER 660803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130325000371 PA Part B Supplier - Clinic/Group Practice 1254576135 Receives reassigned benefits from 3 practitioners
Practice locations: Slickville, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1326213067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 EMILIO CENTER",
            "address_2": "SUITE 3",
            "city": "SLICKVILLE",
            "state": "PA",
            "postal_code": "156840160",
            "telephone_number": "724-468-4099",
            "fax_number": "724-468-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 EMILIO CENTER",
            "address_2": "SUITE 3",
            "city": "SLICKVILLE",
            "state": "PA",
            "postal_code": "156840160",
            "telephone_number": "724-468-4099",
            "fax_number": "724-468-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN FAMILY HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "724-468-4099",
        "authorized_official_credential": "MSN CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "UP001497B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83048",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS S GROUP NUMBER 660803",
            "identifier": "AS660803",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slickville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.