Active NPI
Deborah Cann Bialas, C.R.N.P.
- Family Nurse Practitioner
- Warren, PA
National Provider Identifier
1790717551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- TP004391B
- Practice address
- 103 St Clair St
Warren, PA 16365-2197 - Phone
- (814) 726-0273
- Fax
- (814) 726-0694
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TP004391B | PA | Primary |
Addresses
Primary practice location
103 St Clair St
Warren, PA 16365-2197
Mailing address
504 4TH Ave
Warren, PA 16365-4904
Phone (814) 723-0273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059103001 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790717551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 4TH AVE",
"city": "WARREN",
"state": "PA",
"postal_code": "163654904",
"telephone_number": "814-723-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 ST CLAIR ST",
"city": "WARREN",
"state": "PA",
"postal_code": "163652197",
"telephone_number": "814-726-0273",
"fax_number": "814-726-0694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIALAS",
"first_name": "DEBORAH",
"middle_name": "CANN",
"name_prefix": "Mrs.",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "TP004391B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "059103001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.