NPIMap

Organization Active NPI

Kathleen C. Spadaro LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Export, PA
National Provider Identifier
1942387220
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
RN334294L Issued in PA
Legal business name
KATHLEEN C. SPADARO LLC
Practice address
5035 Old William Penn Hwy
Export, PA 15632-9348
Phone
(724) 733-3491
Fax
(724) 733-3498
NPI assigned
Nov 1, 2006
Last updated
Aug 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Kathleen C Spadaro, CNS, RNNPI 1881707107
Title
Sole Owner
Phone
(724) 733-3491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X RN334294L PA Primary

Addresses

Primary practice location

5035 Old William Penn Hwy
Export, PA 15632-9348

Mailing address

104 Berrybush Dr
Harrison City, PA 15636-1421
Phone (412) 558-0157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061103000204 PA Part B Supplier - Clinic/Group Practice 1658378674 Receives reassigned benefits from 1 practitioner
Practice locations: Murrysville, PA

National Provider Directory

National Provider Directory

Locations

4115 William Penn Hwy
Ste 201
Murrysville, PA 15668
Phone (724) 733-3491

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1942387220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BERRYBUSH DR",
            "city": "HARRISON CITY",
            "state": "PA",
            "postal_code": "156361421",
            "telephone_number": "412-558-0157",
            "fax_number": "724-733-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 OLD WILLIAM PENN HWY",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156329348",
            "telephone_number": "724-733-3491",
            "fax_number": "724-733-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN C. SPADARO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "SPADARO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "724-733-3491",
        "authorized_official_credential": "CNS, RN"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN334294L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Export, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.