Organization Active NPI

Grandis Rubin Shanahan and Associates

  • Nurse Practitioner
  • Jefferson Hills, PA
National Provider Identifier
1972925055
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP013378 Issued in PA
Legal business name
GRANDIS RUBIN SHANAHAN AND ASSOCIATES
Practice address
575 Coal Valley Rd
Suite 570
Jefferson Hills, PA 15025-3730
Phone
(412) 469-7660
Fax
(412) 469-7547
NPI assigned
Jan 9, 2014
Last updated
Jan 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Devon Podufal, CRNP
Title
CRNP
Phone
(412) 469-7660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP013378 PA Primary

Addresses

Primary practice location

575 Coal Valley Rd
Suite 570
Jefferson Hills, PA 15025-3730

Mailing address

575 Coal Valley Rd
Suite 570
Jefferson Hills, PA 15025-3730
Phone (412) 469-7660

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1972925055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SUITE 570",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-7660",
            "fax_number": "412-469-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD",
            "address_2": "SUITE 570",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253730",
            "telephone_number": "412-469-7660",
            "fax_number": "412-469-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDIS RUBIN SHANAHAN AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "PODUFAL",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "412-469-7660",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.