Individual provider Active NPI

Maryellen Harnish, RN

  • Community/Behavioral Health Agency
  • Kittanning, PA
National Provider Identifier
1790828614
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
RN167556-L Issued in PA
Practice address
300 S Jefferson St
Kittanning, PA 16201-2416
Phone
(724) 548-5126
Fax
(724) 543-1235
NPI assigned
Feb 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X RN167556-L PA Primary

Addresses

Primary practice location

300 S Jefferson St
Kittanning, PA 16201-2416

Mailing address

300 S Jefferson St
Kittanning, PA 16201-2416
Phone (724) 548-5126

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN167556-LPAMDCommunity/Behavioral Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790828614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S JEFFERSON ST",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012416",
            "telephone_number": "724-548-5126",
            "fax_number": "724-543-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S JEFFERSON ST",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012416",
            "telephone_number": "724-548-5126",
            "fax_number": "724-543-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNISH",
        "first_name": "MARYELLEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "RN167556-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, 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.

Verify at the official NPI Registry.