Carla McClintock, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP012942 Issued in PA

Practice address

2616 Memorial Blvd
Suite B
Connellsville, PA 15425-1418

Phone

(724) 628-9350

NPI assigned

Jul 1, 2013

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Excela Health Physician Practices, Inc

  dba Excela Health Cardiology

  • Cardiovascular Disease Physician
  • Greensburg, PA
  • NPI 1821225202
  Medicare reassignment NPD
• Highlands Hospital and Health Center

  dba Highlands Hospital Physicians

  • Family Medicine Physician
  • Connellsville, PA
  • NPI 1447443957
  Medicare reassignment NPD
• Excela Health Physician Practices, Inc.

  dba Excela Health Ob-Gyn

  • Obstetrics & Gynecology Physician
  • Latrobe, PA
  • NPI 1164766473
  NPD
• Excela Health Physician Practices, Inc.

  dba Walk-in Clinic

  • Family Medicine Physician
  • Greensburg, PA
  • NPI 1235004193
  NPD
• Highlands Hospital and Health Center

  dba Penn Highlands Connellsville

  • Internal Medicine Physician
  • Connellsville, PA
  • NPI 1518680164
  NPD

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1851731178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 MEMORIAL BLVD",
            "address_2": "SUITE B",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251418",
            "telephone_number": "724-628-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 MEMORIAL BLVD",
            "address_2": "SUITE B",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251418",
            "telephone_number": "724-628-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "CARLA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Shane Malone
• Jody Mangus
• Linday J Martin
• Gregory Martray, M.S. ED., NCC, LPC
• Renee Elizabeth Massari, DMD
• Michael Merritt McCloy, PHARMD
• April Marie McCrum, LSW
• Frances McLaughlin
• Sarah Ruth McMeekin, MT-BC
• Erin Leigh McMillen, LPC

• Family Nurse Practitioner in Connellsville, PA
• Providers in Connellsville, 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 Jul 1, 2013; 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.