Active NPI
Pearl Ann Marie Walch
- Licensed Practical Nurse
- Tarentum, PA
National Provider Identifier
1538401500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN286135
- Practice address
- 702 2ND Ave
Tarentum, PA 15084-2004 - Phone
- (724) 230-3268
- NPI assigned
- Mar 18, 2013
- Last updated
- Mar 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 193087 | PA | |
| Licensed Practical Nurse | 164W00000X | PN286135 | PA | Primary |
Addresses
Primary practice location
702 2ND Ave
Tarentum, PA 15084-2004
Mailing address
1070 Stieren Ave
Brackenridge, PA 15014-1531
Phone (724) 882-9545
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193087 | PA | MD | Basic Emergency Medical Technician |
| PN286135 | PA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363564800000",
"number": "1538401500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 STIEREN AVE",
"city": "BRACKENRIDGE",
"state": "PA",
"postal_code": "150141531",
"telephone_number": "724-882-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 2ND AVE",
"city": "TARENTUM",
"state": "PA",
"postal_code": "150842004",
"telephone_number": "724-230-3268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALCH",
"first_name": "PEARL",
"middle_name": "ANN MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-18",
"last_updated": "2013-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "PA",
"license": "193087",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN286135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarentum, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.