Active NPI
Kathie a, Mates, CRNP, LLC
- Family Nurse Practitioner
- Greensburg, PA
National Provider Identifier
1326291832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SPOO7875
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538231204 | Other | PA | NPI |
| 1015566820001PA | Medicaid | PA | |
| Q59430 PA | Other | PA | UPIN |
National Provider Directory
National Provider DirectoryLocations
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.