Individual provider Active NPI

Antoinette Thalman, CRNP

  • Family Nurse Practitioner
  • Bethel Park, PA
National Provider Identifier
1750698130
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010938 Issued in PA
Practice address
2000 Oxford Dr
Suite 200
Bethel Park, PA 15102-1827
Phone
(412) 942-2140
Fax
(412) 942-6027
NPI assigned
Sep 8, 2010
Last updated
Feb 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP010938 PA Primary
Diabetes Educator Registered Nurse 163WD0400X SP010938 PA

Addresses

Primary practice location

2000 Oxford Dr
Suite 200
Bethel Park, PA 15102-1827

Mailing address

PO Box 3445
Pittsburgh, PA 15230-3445
Phone (412) 937-8887

Other identifiers 2

IdentifierTypeStateIssuer
2591169OtherPAHIGHMARK BCBS
102637542MedicaidPA

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
I20110621000661 PA Practitioner - Nurse Practitioner 9436337417 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Endocrinology PC CurrentSince Sep 26, 2011 Accepting new patients

Locations

2000 Oxford Dr
Ste 200
Bethel Park, PA 15102
Phone (412) 942-2140

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1750698130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3445",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152303445",
            "telephone_number": "412-937-8887",
            "fax_number": "412-937-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR",
            "address_2": "SUITE 200",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021827",
            "telephone_number": "412-942-2140",
            "fax_number": "412-942-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALMAN",
        "first_name": "ANTOINETTE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010938",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "PA",
            "license": "SP010938",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "2591169",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102637542",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.