Active NPI
Kristin Roddy, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- SP015444
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Hospital
Practice addresses (Care Compare)
1245 Highland Ave
Suite 109
Abington, PA 19001-3722
Phone (215) 481-4212
Hospital & facility affiliations
- Jefferson Abington Hospital
- 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 |
|---|---|---|---|
| Abington Memorial Hospital | Current | Accepting new patients | |
| Abington Memorial Hospital | Current | Accepting new patients | |
| Abington Memorial Hospital | Current | 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.
-
- Maternal & Fetal Medicine Physician
- Abington, PA
- NPI 1649033069
-
- Specialist
- Willow Grove, PA
- NPI 1881631166
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.