NPIMap

Organization Active NPI

Gimiva, PA

Doing business as Three Rivers Integrated Medicine

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1700265899
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
MD420259 Issued in PA
Legal business name
GIMIVA, PA
Doing business as
Three Rivers Integrated Medicine
Practice address
2121 Noblestown Rd
Sute 115
Pittsburgh, PA 15205-3956
Phone
(412) 444-4455
Fax
(412) 207-8522
NPI assigned
May 22, 2015
Last updated
May 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Frank Verri, DCNPI 1255396651
Title
Owner
Phone
(412) 444-4455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X MD420259 PA Primary

Addresses

Primary practice location

2121 Noblestown Rd
Sute 115
Pittsburgh, PA 15205-3956

Mailing address

2121 Noblestown Rd
Sute 115
Pittsburgh, PA 15205-3956
Phone (412) 444-4455

Other identifiers 1

IdentifierTypeStateIssuer
MD420259OtherPASTATE LICENSE

Other names 1

  • Three Rivers Integrated Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1700265899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 NOBLESTOWN RD",
            "address_2": "SUTE 115",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152053956",
            "telephone_number": "412-444-4455",
            "fax_number": "412-207-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NOBLESTOWN RD",
            "address_2": "SUTE 115",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152053956",
            "telephone_number": "412-444-4455",
            "fax_number": "412-207-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIMIVA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "VERRI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-444-4455",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "MD420259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD420259",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Integrated Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.