Active NPI
Kim Banks, CRNP
- Family Nurse Practitioner
- Pittsburgh, PA
National Provider Identifier
1497775647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP008803
- Practice address
- 634 Alpha Dr
Suite 600
Pittsburgh, PA 15238-2802 - Phone
- (610) 892-8991
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- 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 | SP008803 | PA | Primary |
Addresses
Primary practice location
634 Alpha Dr
Suite 600
Pittsburgh, PA 15238-2802
Mailing address
634 Alpha Dr
Suite 600
Pittsburgh, PA 15238-2802
Phone (610) 892-8991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP008803 | Other | PA | LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1497775647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 ALPHA DR",
"address_2": "SUITE 600",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152382802",
"telephone_number": "610-892-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 ALPHA DR",
"address_2": "SUITE 600",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152382802",
"telephone_number": "610-892-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "KIM",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP008803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "SP008803",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.