Individual provider Active NPI

Kristen Marie Graziano, FMPHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bridgeville, PA
National Provider Identifier
1427480771
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP013043 Issued in PA
Practice address
300 Old Pond Rd
Suite 201
Bridgeville, PA 15017-1270
Phone
(412) 220-7323
NPI assigned
Aug 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN608338 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP013043 PA Primary

Addresses

Primary practice location

300 Old Pond Rd
Suite 201
Bridgeville, PA 15017-1270

Mailing address

300 Old Pond Rd
Suite 201
Bridgeville, PA 15017-1270
Phone (412) 220-7323

Other identifiers 2

IdentifierTypeStateIssuer
RN608338OtherPAREGISTERED NURSE LICENSE
SP013043OtherPACRNP LICENSE NUMBER

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
RN608338PAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi Kant, MD PC CurrentSince Mar 24, 2014 Accepting new patients
Ravi Kant, MD PC PastSince Mar 24, 2014 Accepting new patients

Locations

300 Old Pond Rd
Ste 201
Bridgeville, PA 15017
Phone (412) 220-7323

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1427480771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OLD POND RD",
            "address_2": "SUITE 201",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171270",
            "telephone_number": "412-220-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD POND RD",
            "address_2": "SUITE 201",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171270",
            "telephone_number": "412-220-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZIANO",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "FMPHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN608338",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP013043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "RN608338",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP LICENSE NUMBER",
            "identifier": "SP013043",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.