Individual provider Active NPI

Deborah A. Gadzicki

  • Licensed Practical Nurse
  • Phoenixville, PA
National Provider Identifier
1023301504
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN054584L Issued in PA
Practice address
1288 Valley Forge Rd
Unit 69
Phoenixville, PA 19460-2687
Phone
(610) 933-9483
Fax
(610) 933-4080
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN054584L PA Primary

Addresses

Primary practice location

1288 Valley Forge Rd
Unit 69
Phoenixville, PA 19460-2687

Mailing address

773 Church St
Royersford, PA 19468-2103
Phone (610) 948-6164

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN054584LPAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1023301504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 CHURCH ST",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194682103",
            "telephone_number": "610-948-6164",
            "fax_number": "610-933-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 VALLEY FORGE RD",
            "address_2": "UNIT 69",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602687",
            "telephone_number": "610-933-9483",
            "fax_number": "610-933-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADZICKI",
        "first_name": "DEBORAH",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN054584L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.