Individual provider Active NPI

Katie Lynn Lamendola, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1578853719
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011242 Issued in PA
Practice address
4401 Penn Avenue
5TH FL. Faculty Pavilion
Pittsburgh, PA 15224
Phone
(412) 692-7625
Fax
(412) 692-3817
NPI assigned
Apr 8, 2011
Last updated
Jan 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP011242 PA Primary

Addresses

Primary practice location

4401 Penn Avenue
5TH FL. Faculty Pavilion
Pittsburgh, PA 15224

Mailing address

4401 Penn Avenue
5TH FL. Faculty Pavilion
Pittsburgh, PA 15224
Phone (412) 692-7625

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
I20150224001199 PA Practitioner - Nurse Practitioner 1052637790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Pittsburgh School of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Ars Treatment Centers PCGroup PAC ID 0042568131, 107 clinicians

Practice addresses (Care Compare)

160 W Pike St
Canonsburg, PA 15317-1328
Phone (800) 805-6989

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ars Treatment Centers, P.C. CurrentSince Aug 1, 2018 Accepting new patients
Ars Treatment Centers, P.C. CurrentSince Aug 1, 2018 Accepting new patients

Locations

220 S Main St
Ste A
Butler, PA 16001

160 W Pike St
Canonsburg, PA 15317
Phone (724) 743-1050

422 Ford St
Ford City, PA 16226
Phone (724) 763-1338

3824 Northern Pike
Ste 600
Monroeville, PA 15146
Phone (412) 457-0175

311 7th St
New Kensington, PA 15068
Phone (724) 335-1200

2317 E Westmoreland St
Philadelphia, PA 19134
Phone (215) 291-3115

9400 McKnight Rd
Ste 103
Pittsburgh, PA 15237
Phone (412) 369-0540

Organizations & group practices 2

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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1578853719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 PENN AVENUE",
            "address_2": "5TH FL. FACULTY PAVILION",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15224",
            "telephone_number": "412-692-7625",
            "fax_number": "412-692-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 PENN AVENUE",
            "address_2": "5TH FL. FACULTY PAVILION",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15224",
            "telephone_number": "412-692-7625",
            "fax_number": "412-692-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMENDOLA",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.