Anna Kathryn South, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP012128 Issued in PA

Practice address

135 Kalassay Dr
Ligonier, PA 15658-8726

Phone

(724) 238-2613

Fax

(724) 238-2614

NPI assigned

Aug 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Excela Health Physician Practices, Inc

  dba Excela Health Cardiology

  • Cardiovascular Disease Physician
  • Greensburg, PA
  • NPI 1821225202
  Medicare reassignment NPD
• Excela Health Physician Practices, Inc.

  dba Excela Health Frick Hospitalists

  • Hospitalist Physician
  • Mt Pleasant, PA
  • NPI 1043501406
  NPD
• Excela Health Physician Practices, Inc.

  dba Walk-in Clinic

  • Family Medicine Physician
  • Greensburg, PA
  • NPI 1235004193
  NPD

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1790033850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 KALASSAY DR",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156588726",
            "telephone_number": "724-238-2613",
            "fax_number": "724-238-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 KALASSAY DR",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156588726",
            "telephone_number": "724-238-2613",
            "fax_number": "724-238-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "ANNA",
        "middle_name": "KATHRYN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Shaw, PT
• Judith Ann Sichi, M.S.C.C.C.S.L.T
• Caitlin Siko, SCHOOL PSYCHOLOGIST
• Carrie Dawn Smith, M.S.CCC-SLP
• Richard F. Smith
• Heidi K Spargur, PT
• Suzana Stepanek, M.D.
• Ann E Stuart
• Surgicenter at Ligonier
• Suzana Stepanek MD

• Family Nurse Practitioner in Ligonier, PA
• Providers in Ligonier, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.