1669173795 NPI number — KATEY DYANNE THIRY PMHNP BC

Table of content: KATEY DYANNE THIRY PMHNP BC (NPI 1669173795)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669173795 NPI number — KATEY DYANNE THIRY PMHNP BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THIRY
Provider First Name:
KATEY
Provider Middle Name:
DYANNE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PMHNP BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669173795
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
312 6TH AVE STE 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH CHARLESTON
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25303-1265
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-768-6170
Provider Business Mailing Address Fax Number:
304-768-2099

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6000 WATERDAM PLAZA DR STE 270
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MC MURRAY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15317-5409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-923-6070
Provider Business Practice Location Address Fax Number:
724-203-6633
Provider Enumeration Date:
03/15/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WP0807X , with the licence number:  RN664424 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0808X , with the licence number: SP028772 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)