Active NPI
Adam Brent Meyer, CRNP
- Gerontology Nurse Practitioner
- East Norriton, PA
National Provider Identifier
1134764848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP021085
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP021085 | PA | MD | Gerontology 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.