Individual provider Active NPI

Kellyann Nast-Golas, RN,BSN

  • College Health Registered Nurse
  • Bryn Mawr, PA
National Provider Identifier
1104129246
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
College Health Registered NurseTaxonomy code 163WC1400X
License
RN528155L Issued in PA
Practice address
101 N Merion Ave
Bryn Mawr, PA 19010-2859
Phone
(610) 526-7360
NPI assigned
Dec 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
College Health Registered Nurse 163WC1400X RN528155L PA Primary

Addresses

Primary practice location

101 N Merion Ave
Bryn Mawr, PA 19010-2859

Mailing address

481 Minerva St
Philadelphia, PA 19128-4102
Phone (215) 482-4603

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN528155LPAMDCollege Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bryn Mawr College Health Center Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1104129246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 MINERVA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284102",
            "telephone_number": "215-482-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MERION AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102859",
            "telephone_number": "610-526-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAST-GOLAS",
        "first_name": "KELLYANN",
        "name_prefix": "Mrs.",
        "credential": "RN,BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "PA",
            "license": "RN528155L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.