Individual provider Active NPI

Catherine A Konkoleski, RN

  • Psychiatric/Mental Health Registered Nurse
  • Bridgeville, PA
National Provider Identifier
1568685196
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN186531L Issued in PA
Practice address
437 Railroad Street
Chartiers Mhimr Center
Bridgeville, PA 15017
Phone
(412) 221-3302
Fax
(412) 221-5229
NPI assigned
Apr 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN186531L PA Primary

Addresses

Primary practice location

437 Railroad Street
Chartiers Mhimr Center
Bridgeville, PA 15017

Mailing address

437 Railroad Street
Bridgeville, PA 15017
Phone (412) 221-3302

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN186531LPAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568685196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 RAILROAD STREET",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "15017",
            "telephone_number": "412-221-3302",
            "fax_number": "412-221-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 RAILROAD STREET",
            "address_2": "CHARTIERS MHIMR CENTER",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "15017",
            "telephone_number": "412-221-3302",
            "fax_number": "412-221-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONKOLESKI",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN186531L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.