Individual provider Active NPI

Jasna Krispinsky, CPNP-AC/PC

  • Pediatric Nurse Practitioner
  • Center Valley, PA
National Provider Identifier
1093444762
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024180610 Issued in VA
Practice address
5425 Lanark Road Suit 101
Center Valley, PA 18034
Phone
(484) 822-6112
NPI assigned
Jun 8, 2022
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024180610 VA Primary
Critical Care Pediatric Nurse Practitioner 363LP0222X 0024180610 VA

Addresses

Primary practice location

5425 Lanark Road Suit 101
Center Valley, PA 18034

Mailing address

2918 Main St
Bethlehem, PA 18017-3702
Phone (615) 481-2832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024180610VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jasna.krispinsky@slpg.direct-sluhn.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1093444762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 MAIN ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173702",
            "telephone_number": "615-481-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 LANARK ROAD SUIT 101",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "18034",
            "telephone_number": "484-822-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISPINSKY",
        "first_name": "JASNA",
        "name_prefix": "Mrs.",
        "credential": "CPNP-AC/PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024180610",
            "primary": true
        },
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "VA",
            "license": "0024180610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.