Active NPI
Kelly Defrancisco, CRNP
- Adult Health Nurse Practitioner
- Bethlehem, PA
National Provider Identifier
1174044820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP017598
- Practice address
- 801 Wedgewood Rd
Bethlehem, PA 18017-3036 - Phone
- (610) 597-3545
- NPI assigned
- Jul 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP017598 | PA | Primary |
Addresses
Primary practice location
801 Wedgewood Rd
Bethlehem, PA 18017-3036
Mailing address
801 Wedgewood Rd
Bethlehem, PA 18017-3036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP017598 | PA | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- ms_kdefran1@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1174044820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 WEDGEWOOD RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180173036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 WEDGEWOOD RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180173036",
"telephone_number": "610-597-3545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFRANCISCO",
"first_name": "KELLY",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP017598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.