Active NPI
Linda R Dalo, CRNP
- Adult Health Nurse Practitioner
- Drexel Hill, PA
National Provider Identifier
1003213307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP006275C
- Practice address
- 2100 Keystone Ave
Suite 200
Drexel Hill, PA 19026-1129 - Phone
- (610) 259-0240
- Fax
- (610) 259-0606
- NPI assigned
- Dec 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP006275C | PA | Primary |
Addresses
Primary practice location
2100 Keystone Ave
Suite 200
Drexel Hill, PA 19026-1129
Mailing address
207 N Broad St
3Rd Floor
Philadelphia, PA 19107-1500
Phone (215) 463-5333
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP006275C | PA | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2ff937d5-49c0-4d88-b923-0f5bdcf3b04f
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1003213307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N BROAD ST",
"address_2": "3RD FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071500",
"telephone_number": "215-463-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 KEYSTONE AVE",
"address_2": "SUITE 200",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190261129",
"telephone_number": "610-259-0240",
"fax_number": "610-259-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALO",
"first_name": "LINDA",
"middle_name": "R",
"name_prefix": "Miss",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-02",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP006275C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Drexel Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.