Kristine Susan Cloonan, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP017657 Issued in PA

Practice address

7171 Churchland St
Pittsburgh, PA 15206-1217

Phone

(412) 361-8284

NPI assigned

May 12, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kristine Susan Hartge Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• East Liberty Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
  • NPI 1790443711
  Medicare reassignment NPD
• East Liberty Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
  • NPI 1184615577
  NPD
• East Liberty Family Health Care Center, Inc.

  dba East Liberty Family Health Care Center Pharmacy-EL

  • Community/Retail Pharmacy
  • Pittsburgh, PA
  • NPI 1902443260
  NPD

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619323292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 CHURCHLAND STREET",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061217",
            "telephone_number": "412-361-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 CHURCHLAND ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061217",
            "telephone_number": "412-361-8284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 Park Pl",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152373672",
            "country_code": "US",
            "telephone_number": "412-848-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOONAN",
        "first_name": "KRISTINE",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017657",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN562007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "HARTGE",
            "middle_name": "SUSAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Molly Annette Cloherty, RD LDN CNSD
• Jessica Clokey, CRNP
• Danuta Clonan
• Brittney Cloninger
• Shannon Clontz, PA-C
• Joshua Michael Clopp, PA-C
• Madelynn Clopton
• Laney Elizabeth Clore
• Elizabeth Close
• Nathan Henry Close

• Family Nurse Practitioner in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.