Ketisha Timbers

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN255147L Issued in PA

Practice address

5 Edinburg Dr
Pittsburgh, PA 15235-4604

Phone

(412) 607-1464

NPI assigned

May 26, 2021

Last updated

May 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1457926917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EDINBURG DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152354604",
            "telephone_number": "412-607-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EDINBURG DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152354604",
            "telephone_number": "412-607-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMBERS",
        "first_name": "KETISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN255147",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN255147L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Scott Tilstra, MD/PHD
• Sarah Anne Tilstra, MD
• Tim Runco DMD PC
• Renee L Timberlake
• Charles E. Timbers Jr., CRNP
• Darla Monique Timbo, L.P.C.
• Alan M Timko, DMD
• Anastasia Mary Timko, CRNP
• Joyce Ann Timko, CRNP
• Allyson Rose Timm, MD

• Licensed Practical Nurse in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.