Gwen Marie Lech, GNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SPO10396 Issued in PA

Practice address

4508 Chestnut St
Phila, PA 19139-3608

Phone

(215) 746-2127

NPI assigned

Aug 25, 2011

Last updated

Aug 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Living Independently for Elders

  • Exclusive Provider Organization
  • Phila, PA
  • NPI 1598088494
  Authorized official Same address or phone

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1023398724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 BUCKINGHAM PL",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191042920",
            "telephone_number": "215-386-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 CHESTNUT ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191393608",
            "telephone_number": "215-746-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECH",
        "first_name": "GWEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SPO10396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita T Laver, MSW LCSW
• Lawrence R. Davis
• Lawrence S Deutsch MD & Assoc PC (Red Lion Pediatrics)
• Keviche Laws, RN
• Jason Ari Lazaroff, D.C.
• Racquel Leduc, MA , LBSC
• Jessamyne Lee
• Sonya Lee, MD
• Leonard Reichman Associates
• Harvey J. Lerner, M.D.

• Gerontology Nurse Practitioner in Phila, PA
• Providers in Phila, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.