Individual provider Active NPI

Rebecca Elizabeth Blair, CRNP

  • Family Nurse Practitioner
  • Johnstown, PA
National Provider Identifier
1407221864
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015596 Issued in PA
Practice address
1086 Franklin St
Johnstown, PA 15905-4305
Phone
(814) 534-9763
Fax
(814) 534-3689
NPI assigned
Dec 9, 2015
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015596 PA Primary

Addresses

Primary practice location

1086 Franklin St
Johnstown, PA 15905-4305

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9763

Other practice location 1

4620 William Penn Hwy
Murrysville, PA 15668-2004
Phone (724) 325-3027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP015596PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 7, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 7, 2018 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Mar 28, 2016 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Current Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Feb 28, 2019 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Feb 28, 2019 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Mar 28, 2016 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients

Locations

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1086 Franklin St
#M7
Johnstown, PA 15905
Phone (615) 920-7334

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

4620 William Penn Hwy
Murrysville, PA 15668
Phone (724) 325-3027

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

Interoperability endpoints

  • Direct secure messaging: rebecca.blair.1@27404.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1407221864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-9763",
            "fax_number": "814-534-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-9763",
            "fax_number": "814-534-3689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4620 William Penn Hwy",
            "address_purpose": "LOCATION",
            "city": "Murrysville",
            "state": "PA",
            "postal_code": "156682004",
            "country_code": "US",
            "telephone_number": "724-325-3027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.