Tri-County Nursing, LLC

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

03590501 Issued in PA

Legal business name

TRI-COUNTY NURSING, LLC

Practice address

426 Main St
Brockway, PA 15824-1325

Phone

(814) 265-0011

Fax

(814) 265-0015

NPI assigned

Nov 23, 2016

Last updated

Nov 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Diane Redmond

Title

Owner

Phone

(814) 265-0011

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1740723733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 MAIN ST",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158241325",
            "telephone_number": "814-265-0011",
            "fax_number": "814-265-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MAIN ST",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158241325",
            "telephone_number": "814-265-0011",
            "fax_number": "814-265-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-265-0011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "PA",
            "license": "03590501",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": "PA",
            "license": "03590501",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "03590501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Registered Nurse in Brockway, PA
• Providers in Brockway, PA by specialty
• Pediatric Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.