Active NPI
Debra Miller Mackey, CRNP
- Family Nurse Practitioner
- Pittsburgh, PA
National Provider Identifier
1962501676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- VP005096B
- Practice address
- 500 Providence Point Boulevard
Providence Point
Pittsburgh, PA 15243-1028 - Phone
- (412) 489-3540
- Fax
- (412) 489-3541
- NPI assigned
- Sep 21, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | VP005096B | PA | Primary |
Addresses
Primary practice location
500 Providence Point Boulevard
Providence Point
Pittsburgh, PA 15243-1028
Mailing address
135 West Cruikshank Rd
Butler, PA 16002-0000
Phone (412) 629-4939
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 |
|---|---|---|---|
| VP005096B | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1962501676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 WEST CRUIKSHANK RD",
"city": "BUTLER",
"state": "PA",
"postal_code": "160020000",
"telephone_number": "412-629-4939",
"fax_number": "412-688-6965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PROVIDENCE POINT BOULEVARD",
"address_2": "PROVIDENCE POINT",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152431028",
"telephone_number": "412-489-3540",
"fax_number": "412-489-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "DEBRA",
"middle_name": "MILLER",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "VP005096B",
"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 Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.