Individual provider Active NPI

Adam Brent Meyer, CRNP

  • Gerontology Nurse Practitioner
  • East Norriton, PA
National Provider Identifier
1134764848
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP021085 Issued in PA
Practice address
190 W Germantown Pike Ste 155
East Norriton, PA 19401-1383
Phone
(610) 277-9040
Fax
(610) 277-7890
NPI assigned
Nov 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP021085 PA Primary

Addresses

Primary practice location

190 W Germantown Pike Ste 155
East Norriton, PA 19401-1383

Mailing address

190 W Germantown Pike Ste 155
East Norriton, PA 19401-1383
Phone (610) 277-9040

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
SP021085PAMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1134764848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W GERMANTOWN PIKE STE 155",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011383",
            "telephone_number": "610-277-9040",
            "fax_number": "610-277-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W GERMANTOWN PIKE STE 155",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011383",
            "telephone_number": "610-277-9040",
            "fax_number": "610-277-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "ADAM",
        "middle_name": "BRENT",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP021085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.