Individual provider Active NPI

Natalya Temerte, CRNP

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1063804367
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
SP014587 Issued in PA
Practice address
10125 Verree Road
Ste 111
Philadelphia, PA 19116-3611
Phone
(215) 882-8100
Fax
(215) 882-8100
NPI assigned
Feb 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP014587 PA
General Practice Physician 208D00000X SP014587 PA Primary

Addresses

Primary practice location

10125 Verree Road
Ste 111
Philadelphia, PA 19116-3611

Mailing address

10125 Verree Road
Ste 111
Philadelphia, PA 19116-3611
Phone (215) 882-8100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150415000666 PA Practitioner - Nurse Practitioner 5991023376

National Provider Directory

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dynamic Home Health Care, IncBensalem, PA, CCN 398129 Home health agency W-2 Managing Employee (20%) Jan 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1063804367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 VERREE ROAD",
            "address_2": "STE 111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163611",
            "telephone_number": "215-882-8100",
            "fax_number": "215-882-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 VERREE ROAD",
            "address_2": "STE 111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163611",
            "telephone_number": "215-882-8100",
            "fax_number": "215-882-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMERTE",
        "first_name": "NATALYA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014587",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "SP014587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.