Individual provider Active NPI

Kristin Roddy, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1083085252
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
SP015444 Issued in PA
Practice address
7996 Oxford Ave
Philadelphia, PA 19111-2241
Phone
(215) 728-1411
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X SP015444 PA Primary

Addresses

Primary practice location

7996 Oxford Ave
Philadelphia, PA 19111-2241

Mailing address

2500 Maryland Rd
Willow Grove, PA 19090-1216

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
I20151218000708 PA Practitioner - Nurse Practitioner 4183925084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, shared by 44 NPIs, 442 clinicians

Practice addresses (Care Compare)

1245 Highland Ave
Suite 109
Abington, PA 19001-3722
Phone (215) 481-4212

Hospital & facility affiliations

  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Nov 1, 2015 Accepting new patients
Abington Memorial Hospital CurrentSince Nov 1, 2015 Accepting new patients
Abington Memorial Hospital CurrentSince Jan 4, 2020 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1245 Highland Ave
Ste 109
Abington, PA 19001
Phone (215) 481-3900

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

300 Welsh Rd
Bldg 2
Horsham, PA 19044
Phone (855) 930-8346

118 Welsh Rd
Unit A
Horsham, PA 19044
Phone (215) 657-5200

2301 Huntingdon Pike
Huntingdon Valley, PA 19006
Phone (215) 481-4932

125 Medical Campus Dr
Ste 200
Lansdale, PA 19446
Phone (215) 361-4980

7996 Oxford Ave
Philadelphia, PA 19111
Phone (215) 725-1411

1045 Bustleton Pike
Trevose, PA 19053
Phone (215) 364-2158

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

2500 Maryland Rd
Willow Grove, PA 19090
Phone (215) 481-6872

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1083085252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARYLAND RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7996 OXFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112241",
            "telephone_number": "215-728-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDY",
        "first_name": "KRISTIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP015444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.