NPIMap

Organization Active NPI

Women to Women

  • Nurse Practitioner
  • Kingston, PA
National Provider Identifier
1013135284
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WOMEN TO WOMEN
Practice address
400 3Rd Ave
Park Office Building 208 209
Kingston, PA 18704-5816
Phone
(570) 714-5800
Fax
(570) 714-0473
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Ms. Cheryl Fuller, CRNPNPI 1841386604
Title
Owner
Phone
(570) 714-5880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X TP000953B PA
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

400 3Rd Ave
Park Office Building 208 209
Kingston, PA 18704-5816

Mailing address

400 3Rd Ave
Park Office Building 208 209
Kingston, PA 18704-5816
Phone (570) 714-5800

Other identifiers 5

IdentifierTypeStateIssuer
1007767610002MedicaidPA
1007767610007MedicaidPA
1007767610004MedicaidPA
1007767610008MedicaidPA
100776761MedicaidPA

National Provider Directory

National Provider Directory

Locations

400 3rd Ave
Ste 208
Kingston, PA 18704
Phone (570) 714-5800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1013135284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 3RD AVE",
            "address_2": "PARK OFFICE BUILDING 208 209",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045816",
            "telephone_number": "570-714-5800",
            "fax_number": "570-714-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 3RD AVE",
            "address_2": "PARK OFFICE BUILDING 208 209",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045816",
            "telephone_number": "570-714-5800",
            "fax_number": "570-714-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN TO WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-714-5880",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "TP000953B",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007767610002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007767610007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007767610004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007767610008",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100776761",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.