Individual provider Active NPI

Sally Usher, LPN

  • Licensed Practical Nurse
  • Cranberry Township, PA
National Provider Identifier
1861133043
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN063913L Issued in PA
Practice address
301 Smith Dr Ste 3
Cranberry Township, PA 16066-4131
Phone
(724) 779-2010
Fax
(724) 779-2011
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN063913L PA Primary

Addresses

Primary practice location

301 Smith Dr Ste 3
Cranberry Township, PA 16066-4131

Mailing address

301 Smith Dr Ste 3
Cranberry Township, PA 16066-4131

Other names 1

  • Sally Edmondson Former name

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

State licenses

LicenseStateTypeSpecialty
PN063913LPAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Behavioral Health-PA, LLC CurrentSince Apr 10, 2022 Accepting new patients

Locations

301 Smith Dr
Ste 3
Cranberry Twp, PA 16066
Phone (724) 687-8893

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1861133043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SMITH DR STE 3",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160664131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SMITH DR STE 3",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160664131",
            "telephone_number": "724-779-2010",
            "fax_number": "724-779-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USHER",
        "first_name": "SALLY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN063913L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "EDMONDSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.