Pediatric Nursing Specialists of Pennsylvania, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

748705 Issued in PA

Legal business name

PEDIATRIC NURSING SPECIALISTS OF PENNSYLVANIA, INC.

Practice address

4730 Clairton Blvd
Pittsburgh, PA 15236-2159

Phone

(412) 885-0184

Fax

(412) 885-6495

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Nancy C Jakus, RN BSN MBA

Title

Vice President of Operations

Phone

(601) 268-1842

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Deaconess HomeCare Doing business as

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376533604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16809",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394046809",
            "telephone_number": "601-268-1842",
            "fax_number": "601-268-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 CLAIRTON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152362159",
            "telephone_number": "412-885-0184",
            "fax_number": "412-885-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NURSING SPECIALISTS OF PENNSYLVANIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAKUS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "601-268-1842",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN BSN MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "748705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01597280",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deaconess HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Robert Munk Pedersen, M.D.
• Pediatric & Adult Allergy & Asthma
• Pediatric Alliance, St. Clair Division
• Pediatric Counseling Services LLC
• Pediatric Dentistry South
• Pediatric Play and Grow Therapeutic Center
• Pediatric Services of America, LLC
• Pediatric Therapy Specialists, Inc.
• Pediatric Therapy Specialists, Inc.
• Pediatric Therapy Specialists, Inc.

• Home Health Agency in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.