Kim Marie Dautrich, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP019585 Issued in PA

Practice address

815 Freeport Rd
Pittsburgh, PA 15215-3301

Phone

(412) 784-4000

NPI assigned

Nov 9, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Choice Chiropractic and Wellness Center

  • Chiropractor
  • Pittsburgh, PA
  • NPI 1366427254
  NPD

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1861960684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 NORMA DR",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150683049",
            "telephone_number": "610-823-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FREEPORT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152153301",
            "telephone_number": "412-784-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUTRICH",
        "first_name": "KIM MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Daugherty, LPC
• Erin Daugherty, MD
• Judith H Daughtry, OTD
• Tracy Daum, DNP, CRNP
• Jennifer L Dauria, M.D.
• Aileen Felix Dauz, PHARMD
• Daval Enterprises Inc
• Lucas Mark Davanzo, M.D.
• Diwakar Davar
• Atman Ashwin Dave, MD

• Family Nurse Practitioner in Pittsburgh, PA
• Providers in Pittsburgh, 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 Nov 9, 2018; 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.