Individual provider Active NPI

Donna Connor, CRNP

  • Adult Health Nurse Practitioner
  • Reading, PA
National Provider Identifier
1033645247
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP017472 Issued in PA
Practice address
S. 6TH Ave
Reading, PA 19611
Phone
(484) 628-8249
NPI assigned
May 8, 2017
Last updated
May 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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 SP017472 PA Primary

Addresses

Primary practice location

S. 6TH Ave
Reading, PA 19611

Mailing address

PO Box 16052
Reading, PA 19612-6052
Phone (484) 628-8249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180118001486 PA Practitioner - Nurse Practitioner 9234498353 Reassigns benefits to 1 organization
I20240807000378 FL Practitioner - Nurse Practitioner 9234498353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peace River Cardiovascular CenterGroup PAC ID 1052673910, 8 clinicians

Practice addresses (Care Compare)

4161 Tamiami TRL
Suite 701
Port Charlotte, FL 33952-9283
Phone (941) 629-5356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP017472PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peace River Cardiovascular Center CurrentSince Jul 19, 2024 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Tower Health Medical Group CurrentSince Nov 15, 2017 Accepting new patients
Reading Professional Services CurrentSince Nov 15, 2017 Accepting new patients

Locations

4161 Tamiami Trl
Ste 701
Pt Charlotte, FL 33952
Phone (941) 255-1084

301 S 7th Ave
Ste 2020
West Reading, PA 19611

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1033645247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16052",
            "city": "READING",
            "state": "PA",
            "postal_code": "196126052",
            "telephone_number": "484-628-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S. 6TH AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "19611",
            "telephone_number": "484-628-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "DONNA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP017472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.