DANIELA NICOLE SPORTER CRNP NPI 1548782048

NPI Information

NPI: 1548782048
Provider Name: DANIELA NICOLE SPORTER, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ALLEGHENY CLINIC

PECOS Registration: Yes

Address:
4815 LIBERTY AVE STE 115
PITTSBURGH, PA
ZIP 15224
Phone: (412) 578-6808
Get Directions

Daniela Nicole Sporter, CRNP is a family nurse practitioner in Pittsburgh, PA with 7 years of experience. Daniela Nicole Sporter, CRNP NPI is 1548782048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4815 LIBERTY AVE STE 115
PITTSBURGH, PA
ZIP 15224-156
Phone: (412) 578-6808
Fax: (412) 688-7517

The NPI 1548782048 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2017 and was last updated on 5/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	SP017675	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103352959	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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