Active NPI
Katlyn Elizabeth Wolf, RN
- Diabetes Educator Registered Nurse
- Palmyra, PA
National Provider Identifier
1033864368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- RN672987
- Practice address
- 941 Park Dr
Palmyra, PA 17078-3445 - Phone
- (717) 838-6305
- NPI assigned
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | RN672987 | PA | Primary |
Addresses
Primary practice location
941 Park Dr
Palmyra, PA 17078-3445
Mailing address
90 Hope Dr
Hershey, PA 17033-2036
Phone (717) 531-0003
Other practice location 1
2626 N 3rd St
Harrisburg, PA 17110-2044
Phone (717) 232-5443
Other practice location 2
140 Old Willow Mill Rd
Mechanicsburg, PA 17050-1816
Phone (717) 766-4635
Other practice location 3
845 Fishburn Rd
Hershey, PA 17033-2015
Phone (717) 531-8181
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN672987 | PA | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1033864368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOPE DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332036",
"telephone_number": "717-531-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 PARK DR",
"city": "PALMYRA",
"state": "PA",
"postal_code": "170783445",
"telephone_number": "717-838-6305"
}
],
"practiceLocations": [
{
"address_1": "2626 N 3rd St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171102044",
"country_code": "US",
"telephone_number": "717-232-5443",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Old Willow Mill Rd",
"address_purpose": "LOCATION",
"city": "Mechanicsburg",
"state": "PA",
"postal_code": "170501816",
"country_code": "US",
"telephone_number": "717-766-4635",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "845 Fishburn Rd",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332015",
"country_code": "US",
"telephone_number": "717-531-8181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLF",
"first_name": "KATLYN",
"middle_name": "ELIZABETH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-15",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "PA",
"license": "RN672987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmyra, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.