Individual provider Active NPI

Debra Miller Mackey, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1962501676
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
VP005096B Issued in PA
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

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
VP005096BPAMDFamily 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.

Verify at the official NPI Registry.