Active NPI
Zachary Ryan Nolan, CRNP
- Family Nurse Practitioner
- Johnstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP024306
- Practice address
- 1415 Eisenhower Blvd
Johnstown, PA 15904-3217 - Phone
- (814) 615-2014
- Fax
- (814) 269-1318
- NPI assigned
- Sep 21, 2021
- Last updated
- Oct 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP024306 | PA | Primary |
Addresses
Primary practice location
1415 Eisenhower Blvd
Johnstown, PA 15904-3217
Mailing address
1415 Eisenhower Blvd
Johnstown, PA 15904-3217
Phone (814) 615-2014
Other practice location 1
1100 Pike St
Huntingdon, PA 16654-0002
Phone (814) 643-6520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP024306 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Medical Center | Family | Current | Accepting new patients |
| Curana Health of Pennsylvania PC | Current | Accepting new patients | |
| Laurel Eye Clinic | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
526 N Saint Cloud St
#1601
Allentown, PA 18104
220 Newry St
Hollidaysburg, PA 16648
Phone (814) 693-4000
1415 Eisenhower Blvd
Johnstown, PA 15904
Phone (814) 269-3627
1415 Eisenhower Blvd
#B
Johnstown, PA 15904
Phone (814) 266-1616
Interoperability endpoints
- https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Allentown, PA
- NPI 1679205876
-
- Durable Medical Equipment & Medical Supplies
- Mercer, PA
- NPI 1104405554
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1407527419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 EISENHOWER BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043217",
"telephone_number": "814-615-2014",
"fax_number": "814-269-1318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 EISENHOWER BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043217",
"telephone_number": "814-615-2014",
"fax_number": "814-269-1318"
}
],
"practiceLocations": [
{
"address_1": "1100 Pike St",
"address_purpose": "LOCATION",
"city": "Huntingdon",
"state": "PA",
"postal_code": "166540002",
"country_code": "US",
"telephone_number": "814-643-6520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLAN",
"first_name": "ZACHARY",
"middle_name": "RYAN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-21",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP024306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
- Shannon Maureen Nicoloff, PSY.D., L.P., RPT
- Katelyn Ann Niebauer, CRNP
- Heidi A Niessner
- NJ Peer Support Specialists LLC
- John B Nobiletti, M.D., PH.D.
- Cathleen Jane Noonan, DC
- Anne-Marie Norris
- Northland Hearing Centers Inc (Trinity Hearing Aids)
- Alexis Taylor Novak, CRNP
- Georgiana Taylor Novatny, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.