Active NPI
Krista Kanya, CRNP, RN
- Pediatric Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26NJ01060400
- Practice address
- 3400 Civic Center Blvd
Philadelphia, PA 19104-5127 - Phone
- (215) 713-7144
- NPI assigned
- Feb 26, 2013
- Last updated
- Sep 27, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ01060400 | NJ | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | SP012776 | PA | |
| Pediatric Registered Nurse | 163WP0200X | RN598267 | PA |
Addresses
Primary practice location
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Mailing address
4101 Orchard LN
Philadelphia, PA 19154-4417
Phone (215) 713-7144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN598267 | PA | MD | Pediatric Registered Nurse |
| 26NJ01060400 | NJ | MD | Pediatric Nurse Practitioner |
| SP012776 | PA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care Associates of New Jersey PC | Current | Accepting new patients | |
| Childens Health Care Associates of New Jersey PC | Current | Accepting new patients | |
| Children's Healthcare Associates of New Jersey PC | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| Childen's Health Care Associates Inc. | Pediatrics | Current | Accepting new patients |
| Childrens Health Care Associates, Inc | Current | Accepting new patients |
Locations
1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000
707 Alexander Rd
Princeton, NJ 08540
Phone (609) 520-1717
100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1598869059
-
dba Chca NJ
- Pediatrics Physician
- Voorhees, NJ
- NPI 1427152917
-
dba CHCA Nurse Practitioners
- Pediatric Registered Nurse
- Philadelphia, PA
- NPI 1699860643
Pediatrics
-
dba CHCA Gastroenterology & Nutrition
- Pediatric Gastroenterology Physician
- Philadelphia, PA
- NPI 1801981857
-
dba CHCA NJ Emergency Medicine
- Pediatric Emergency Medicine (Pediatrics) Physician
- Voorhees, NJ
- NPI 1467547471
-
dba CHCA NJ Rehabiliation
- Pediatric Rehabilitation Medicine Physician
- Voorhees, NJ
- NPI 1467547489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1073853198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 ORCHARD LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191544417",
"telephone_number": "215-713-7144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127",
"telephone_number": "215-713-7144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANYA",
"first_name": "KRISTA",
"credential": "CRNP, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-26",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NJ01060400",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP012776",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "PA",
"license": "RN598267",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.