Individual provider Active NPI

Anne M Prendergast Hitchens, CRNP

  • Pediatrics Physician
  • Warminster, PA
National Provider Identifier
1104333566
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
SP016750 Issued in PW
Practice address
866 W Bristol Rd
Warminster, PA 18974-2170
Phone
(215) 293-6010
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X SP016750 PW Primary

Addresses

Primary practice location

866 W Bristol Rd
Warminster, PA 18974-2170

Mailing address

214 Allison Rd
Willow Grove, PA 19090-3114

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

State licenses

LicenseStateTypeSpecialty
SP016750PWMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Care Group, P.C. Single Specialty Past Accepting new patients
Valley Pediatrics PC Single Specialty Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EADDBD/Endpoint/EADDBD

Organizations & group practices 2

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": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1104333566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ALLISON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190903114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 W BRISTOL RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742170",
            "telephone_number": "215-293-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENDERGAST HITCHENS",
        "first_name": "ANNE",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PW",
            "license": "SP016750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.