Individual provider Active NPI

Kelli Nicole Harajda-Hurst, MD

  • Pediatrics Physician
  • Center Valley, PA
National Provider Identifier
1104270826
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD466702 Issued in PA
Practice address
3800 Sierra Cir Ste 100
Center Valley, PA 18034-8476
Phone
(484) 664-2090
Fax
(484) 664-2089
NPI assigned
Apr 19, 2016
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD466702 PA Primary

Addresses

Primary practice location

3800 Sierra Cir Ste 100
Center Valley, PA 18034-8476

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other names 1

  • Kelli Nicole Harajda Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190822003014 PA Practitioner - Pediatric Medicine 7214229566 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD466702PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Aug 5, 2019 Accepting new patients
Lehigh Valley Physician Group Pediatrics CurrentSince Aug 5, 2019 Accepting new patients
Lehigh Valley Physician Group Pediatrics Current Accepting new patients
Lehigh Valley Hospital Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1200 S Cedar Crest Blvd
Fl 6
Allentown, PA 18103
Phone (610) 402-7712

1611 Pond Rd
Ste 400
Allentown, PA 18104
Phone (484) 273-4836

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

3800 Sierra Cir
Ste 100
Center Valley, PA 18034
Phone (484) 664-2090

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

Interoperability endpoints

  • Direct secure messaging: kdunker21224@direct2.lvhn.org

Organizations & group practices 6

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1104270826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SIERRA CIR STE 100",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348476",
            "telephone_number": "484-664-2090",
            "fax_number": "484-664-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARAJDA-HURST",
        "first_name": "KELLI",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD466702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "HARAJDA",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.