Organization Active NPI

Kathie a, Mates, CRNP, LLC

  • Family Nurse Practitioner
  • Greensburg, PA
National Provider Identifier
1326291832
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SPOO7875 Issued in PA
Legal business name
KATHIE A, MATES, CRNP, LLC
Practice address
810 Jamison Ave
Greensburg, PA 15601-5438
Phone
(412) 610-1711
Fax
(724) 832-8344
NPI assigned
Oct 28, 2008
Last updated
Feb 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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

Authorized official

Name
Ms. Kathie Ann Mates, CRNP
Title
Owner
Phone
(412) 610-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SPOO7875 PA Primary

Addresses

Primary practice location

810 Jamison Ave
Greensburg, PA 15601-5438

Mailing address

810 Jamison Ave
Greensburg, PA 15601-5438
Phone (412) 610-1711

Other identifiers 3

IdentifierTypeStateIssuer
1538231204OtherPANPI
1015566820001PAMedicaidPA
Q59430 PAOtherPAUPIN

National Provider Directory

National Provider Directory

Locations

401 Brkich Way
Ste 23
West Bridgewater, PA 15009

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1326291832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 JAMISON AVE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015438",
            "telephone_number": "412-610-1711",
            "fax_number": "724-832-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 JAMISON AVE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015438",
            "telephone_number": "412-610-1711",
            "fax_number": "724-832-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHIE A, MATES, CRNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "MATES",
        "authorized_official_first_name": "KATHIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-610-1711",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SPOO7875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538231204",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015566820001PA",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "Q59430 PA",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.