Individual provider Active NPI

Linda R Dalo, CRNP

  • Adult Health Nurse Practitioner
  • Drexel Hill, PA
National Provider Identifier
1003213307
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP006275C Issued in PA
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

Updated by the provider on Dec 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SP006275CPAMDAdult Health Nurse Practitioner

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.