Individual provider Active NPI

Kelly Yannitelli, RN

  • Registered Nurse
  • Duncansville, PA
National Provider Identifier
1720438807
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN331250L Issued in PA
Practice address
1333 Plank Rd
Suite 200
Duncansville, PA 16635-8456
Phone
(855) 265-8008
Fax
(814) 238-1650
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN331250L PA Primary

Addresses

Primary practice location

1333 Plank Rd
Suite 200
Duncansville, PA 16635-8456

Mailing address

791 3Rd Ave
Hastings, PA 16646-8906
Phone (814) 243-4123

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
RN331250LPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Value Specialty Pharmacy LLC Past Accepting new patients
Value Specialty Pharmacy LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1720438807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 3RD AVE",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166468906",
            "telephone_number": "814-243-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 PLANK RD",
            "address_2": "SUITE 200",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358456",
            "telephone_number": "855-265-8008",
            "fax_number": "814-238-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNITELLI",
        "first_name": "KELLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN331250L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncansville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.