Individual provider Active NPI

Nicole Lyn Caruthers, CRNP

  • Family Nurse Practitioner
  • Oakland, PA
National Provider Identifier
1457939407
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023038 Issued in PA
Practice address
200 Lothrop St Ste a-402
Oakland, PA 15213-2536
Phone
(412) 647-7768
NPI assigned
Mar 31, 2021
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP023038 PA Primary
Neurological Surgery Physician 207T00000X NPPA045714 PA
Neurological Surgery Physician 207T00000X SP023038 PA

Addresses

Primary practice location

200 Lothrop St Ste a-402
Oakland, PA 15213-2536

Mailing address

7933 Ivory LN
Elizabeth, PA 15037-1155
Phone (412) 889-2554

Other names 1

  • Nicole Caruthers Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210514000408 PA Practitioner - Nurse Practitioner 9436568862 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPPA045714PAMDNeurological Surgery Physician
SP023038PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Feb 10, 2021 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2025 Accepting new patients
University of Pittsburgh Physicians Pulmonary Disease CurrentSince Feb 10, 2021 Accepting new patients

Locations

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Ste A402
Pittsburgh, PA 15213
Phone (412) 647-3604

3459 5th Ave
#G
Pittsburgh, PA 15213
Phone (412) 648-6161

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1457939407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7933 IVORY LN",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150371155",
            "telephone_number": "412-889-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST STE A-402",
            "city": "OAKLAND",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUTHERS",
        "first_name": "NICOLE",
        "middle_name": "LYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023038",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "NPPA045714",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "SP023038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CARUTHERS",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oakland, PA

Sources for this page

Verify at the official NPI Registry.