Individual provider Active NPI

Alice L Veitz, MSN CRNP

  • Acute Care Nurse Practitioner
  • Paoli, PA
National Provider Identifier
1033392980
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
VP005462X Issued in PA
Practice address
2 Industrial Blvd
Suite 110
Paoli, PA 19301-1645
Phone
(610) 725-0650
Fax
(610) 725-9583
NPI assigned
Dec 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinical Nurse Specialist 364SX0200X VP005462X PA
Acute Care Nurse Practitioner 363LA2100X VP005462X PA Primary

Addresses

Primary practice location

2 Industrial Blvd
Suite 110
Paoli, PA 19301-1645

Mailing address

2 Industrial Blvd
Suite 110
Paoli, PA 19301-1645
Phone (610) 725-0650

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
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
VP005462XPAMDAcute Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: alice.veitz@paoli.ikm.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1033392980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL BLVD",
            "address_2": "SUITE 110",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011645",
            "telephone_number": "610-725-0650",
            "fax_number": "610-725-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL BLVD",
            "address_2": "SUITE 110",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011645",
            "telephone_number": "610-725-0650",
            "fax_number": "610-725-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEITZ",
        "first_name": "ALICE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSN CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "PA",
            "license": "VP005462X",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "VP005462X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.