Individual provider Active NPI

Emiley Neudorfer, CRNP

  • Family Nurse Practitioner
  • Butler, PA
National Provider Identifier
1699253062
Registry record updated Jul 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019013 Issued in PA
Practice address
315 N Main St
Butler, PA 16001-4906
Phone
(724) 283-3170
Fax
(724) 602-0091
NPI assigned
Jul 29, 2018
Last updated
Jul 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2018

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 SP019013 PA Primary

Addresses

Primary practice location

315 N Main St
Butler, PA 16001-4906

Mailing address

7258 Country Club Rd
Butler, PA 16001-8575
Phone (724) 355-4275

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
I20180906000756 PA Practitioner - Nurse Practitioner 7214287648 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Fozia Chatta & Associates,PC CurrentSince Aug 1, 2018 Accepting new patients

Locations

315 N Main St
Butler, PA 16001
Phone (724) 283-3170

Organizations & group practices 1

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": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532822400000",
    "number": "1699253062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7258 COUNTRY CLUB RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160018575",
            "telephone_number": "724-355-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N MAIN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014906",
            "telephone_number": "724-283-3170",
            "fax_number": "724-602-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUDORFER",
        "first_name": "EMILEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-29",
        "last_updated": "2018-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.