Individual provider Active NPI

Jacalyn Renee Grabiak, RN CNOR CRNFA

  • Registered Nurse First Assistant
  • Greensburg, PA
National Provider Identifier
1992883425
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
178272-L Issued in PA
Practice address
47 Unity SQ
Greensburg, PA 15601-9577
Phone
(724) 836-0102
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 178272-L PA Primary

Addresses

Primary practice location

47 Unity SQ
Greensburg, PA 15601-9577

Mailing address

47 Unity SQ
Greensburg, PA 15601-9577
Phone (724) 836-0102

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
178272-LPAMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992883425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 UNITY SQ",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019577",
            "telephone_number": "724-836-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 UNITY SQ",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019577",
            "telephone_number": "724-836-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABIAK",
        "first_name": "JACALYN",
        "middle_name": "RENEE",
        "name_prefix": "Mr.",
        "credential": "RN CNOR CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "PA",
            "license": "178272-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.