Active NPI
Lauren Keldie Pitel, CRNP
- Pediatric Nurse Practitioner
- Elkins Park, PA
National Provider Identifier
1144530734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP016099
- Practice address
- 1939 W Cheltenham Ave
Elkins Park, PA 19027-1046 - Phone
- (215) 884-5715
- Fax
- (215) 884-1442
- NPI assigned
- Oct 15, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP016099 | PA | Primary |
Addresses
Primary practice location
1939 W Cheltenham Ave
Elkins Park, PA 19027-1046
Mailing address
1939 Cheltenham Ave
Elkins Park, PA 19027
Phone (215) 884-5715
Other practice location 1
1939 W Cheltenham Ave
Elkins Park, PA 19027-1046
Phone (215) 884-5715
Other practice location 2
1939 W Cheltenham Ave
Elkins Park, PA 19027-1046
Phone (215) 884-5715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP016099 | Other | PA | STATE LICENSE |
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 |
|---|---|---|---|
| SP016099 | PA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144530734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 CHELTENHAM AVE",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "19027",
"telephone_number": "215-884-5715",
"fax_number": "215-884-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 W CHELTENHAM AVE",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271046",
"telephone_number": "215-884-5715",
"fax_number": "215-884-1442"
}
],
"practiceLocations": [
{
"address_1": "1939 W Cheltenham Ave",
"address_purpose": "LOCATION",
"city": "Elkins Park",
"state": "PA",
"postal_code": "190271046",
"country_code": "US",
"telephone_number": "215-884-5715",
"fax_number": "215-884-1442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1939 W Cheltenham Ave",
"address_purpose": "LOCATION",
"city": "Elkins Park",
"state": "PA",
"postal_code": "190271046",
"country_code": "US",
"telephone_number": "215-884-5715",
"fax_number": "215-884-1442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PITEL",
"first_name": "LAUREN",
"middle_name": "KELDIE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP016099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SP016099",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.