Individual provider Active NPI

Dacey Boinaiv Stratton, CRNP

  • Women's Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1073941308
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP013271 Issued in PA
Practice address
1700 South St
Philadelphia, PA 19146-1529
Phone
(215) 454-8000
Fax
(215) 893-2251
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP013271 PA Primary

Addresses

Primary practice location

1700 South St
Philadelphia, PA 19146-1529

Mailing address

4522 Spruce St
Philadelphia, PA 19139-4525
Phone (207) 664-8738

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
I20160921000642 PA Practitioner - Nurse Practitioner 3779870605 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP013271PAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Apr 13, 2021 Accepting new patients

Locations

700 Spruce St
Ste 200
Philadelphia, PA 19106
Phone (215) 829-3525

1700 South St
Philadelphia, PA 19146
Phone (215) 454-8000

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1073941308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191394525",
            "telephone_number": "207-664-8738",
            "fax_number": "215-893-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SOUTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461529",
            "telephone_number": "215-454-8000",
            "fax_number": "215-893-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "DACEY",
        "middle_name": "BOINAIV",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP013271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.