Active NPI
Tatyana Kantor, CRNP
- Family Nurse Practitioner
- Meadowbrook, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP017281
- Practice address
- 1648 Huntingdon Pike
Meadowbrook, PA 19046-8001 - Phone
- (215) 938-2749
- Fax
- (215) 938-3829
- NPI assigned
- May 10, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP017281 | PA | Primary |
Addresses
Primary practice location
1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Mailing address
1337 Shadow Creek LN
Warrington, PA 18976-1937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 947-3000
Hospital & facility affiliations
- Holy Redeemer Hospital and Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HR Physician Services | Current | Accepting new patients | |
| HR Physician Services | Current | Accepting new patients | |
| HR Physician Services | Current | Accepting new patients | |
| Eugene Dyakovetsky MD. PC. | Current | Accepting new patients | |
| HR Physician Services | Past | Accepting new patients |
Locations
1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413
1648 Huntingdon Pike
Ofc First
Meadowbrook, PA 19046
Phone (215) 938-3450
201 Lakeside Park
Southampton, PA 18966
Phone (215) 322-1058
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Meadowbrook, PA
- NPI 1881696698
-
- Internal Medicine Physician
- Holland, PA
- NPI 1619195179
-
- Family Medicine Physician
- Meadowbrook, PA
- NPI 1447606421
-
- Internal Medicine Physician
- Huntingdon Valley, PA
- NPI 1679450910
-
- Rehabilitation Clinic/Center
- Richboro, PA
- NPI 1730650151
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meadowbrook, PA
- NPI 1750371522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1043746159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1337 SHADOW CREEK LN",
"city": "WARRINGTON",
"state": "PA",
"postal_code": "189761937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1648 HUNTINGDON PIKE",
"city": "MEADOWBROOK",
"state": "PA",
"postal_code": "190468001",
"telephone_number": "215-938-2749",
"fax_number": "215-938-3829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTOR",
"first_name": "TATYANA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-10",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP017281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meadowbrook, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.