Individual provider Active NPI

Becky Jo McCord, CRNP-FNP-BC

  • Family Nurse Practitioner
  • Philipsburg, PA
National Provider Identifier
1972142412
Registry record updated Jan 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021280 Issued in PA
Practice address
1114 Walton St
Philipsburg, PA 16866-2748
Phone
(814) 577-7856
NPI assigned
Jan 1, 2020
Last updated
Jan 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2020

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 SP021280 PA Primary

Addresses

Primary practice location

1114 Walton St
Philipsburg, PA 16866-2748

Mailing address

574 Casanova Rd
Philipsburg, PA 16866-9004
Phone (814) 577-7856

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https Direct

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
SP021280PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harchak Chiropractic Clinic LLC CurrentSince Dec 13, 2021 Accepting new patients

Locations

1114 Walton St
Philipsburg, PA 16866
Phone (814) 342-3591

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577836800000",
    "number": "1972142412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 CASANOVA RD",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168669004",
            "telephone_number": "814-577-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 WALTON ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662748",
            "telephone_number": "814-577-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "BECKY",
        "middle_name": "JO",
        "credential": "CRNP-FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https",
            "affiliation": "N",
            "endpointDescription": "web to be designed by write pad",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1114 Walton St",
            "city": "Philipsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168662748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philipsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; 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.