Individual provider Active NPI

Jan Nubar, R.N.

  • Registered Nurse
  • Erie, PA
National Provider Identifier
1417184292
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN183661L Issued in PA
Practice address
1031 State St
Suite D
Erie, PA 16501-1803
Phone
(814) 455-7827
Fax
(814) 455-7831
NPI assigned
Jun 18, 2009
Last updated
Jun 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN183661L PA Primary

Addresses

Primary practice location

1031 State St
Suite D
Erie, PA 16501-1803

Mailing address

1031 State St
Suite D
Erie, PA 16501-1803
Phone (814) 455-7827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN183661LPAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1417184292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 STATE ST",
            "address_2": "SUITE D",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011803",
            "telephone_number": "814-455-7827",
            "fax_number": "814-455-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 STATE ST",
            "address_2": "SUITE D",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011803",
            "telephone_number": "814-455-7827",
            "fax_number": "814-455-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUBAR",
        "first_name": "JAN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN183661L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.