NPIMap

Organization Active NPI

Your Child's Place

  • Pediatric Registered Nurse
  • Washington, PA
National Provider Identifier
1730203167
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
Legal business name
YOUR CHILD'S PLACE
Practice address
289 North Ave
Washington, PA 15301-3512
Phone
(724) 223-7801
Fax
(724) 223-7802
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Authorized official

Name
Mrs. Jill Ealy
Title
Executive Director
Phone
(724) 229-0851

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WP0200X Primary
Licensed Practical NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 164W00000X
Pediatric Skilled Nursing Facility 3140N1450X

Addresses

Primary practice location

289 North Ave
Washington, PA 15301-3512

Mailing address

190 N Main St
Suite 306
Washington, PA 15301-4349
Phone (724) 229-0851

National Provider Directory

National Provider Directory

Locations

289 North Ave
Washington, PA 15301
Phone (724) 223-7801

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1730203167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N MAIN ST",
            "address_2": "SUITE 306",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014349",
            "telephone_number": "724-229-0851",
            "fax_number": "724-229-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 NORTH AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013512",
            "telephone_number": "724-223-7801",
            "fax_number": "724-223-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CHILD'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "EALY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-229-0851",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.