Active NPI
Rachel Lyn Vissari, CRNP
- Critical Care Neonatal Nurse Practitioner
- Pittsburgh, PA
National Provider Identifier
1871187575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- SP022982
- Practice address
- 300 Halket St
Pittsburgh, PA 15213-3108 - Phone
- (412) 641-4420
- NPI assigned
- Feb 23, 2021
- 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 |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | SP022982 | PA | Primary |
Addresses
Primary practice location
300 Halket St
Pittsburgh, PA 15213-3108
Mailing address
204 Magill Rd
Zelienople, PA 16063-3016
Phone (724) 504-2728
Other practice location 1
4401 Penn Ave
Pittsburgh, PA 15224-1342
Phone (412) 692-5325
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP022982 | PA | MD | Critical Care Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1871187575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 MAGILL RD",
"city": "ZELIENOPLE",
"state": "PA",
"postal_code": "160633016",
"telephone_number": "724-504-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HALKET ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133108",
"telephone_number": "412-641-4420"
}
],
"practiceLocations": [
{
"address_1": "4401 Penn Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152241342",
"country_code": "US",
"telephone_number": "412-692-5325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VISSARI",
"first_name": "RACHEL",
"middle_name": "LYN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-23",
"last_updated": "2021-02-23",
"certification_date": "2021-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "PA",
"license": "SP022982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.