Organization Active NPI

CPR for Life & Health Care Consulting Inc.

  • Adult Health Nurse Practitioner
  • Phillipsburg, NJ
National Provider Identifier
1174675169
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00018700 Issued in NJ
Legal business name
CPR FOR LIFE & HEALTH CARE CONSULTING INC.
Doing business as
Lehigh Valley Wellness Center
Practice address
210 Prospect Ave
Lower Level
Phillipsburg, NJ 08865-1518
Phone
(908) 213-8808
Fax
(908) 213-8898
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Ms. Louise Marie Diehl, RN,MSN,ND,ACNS-BC,NPNPI 1619972353
Title
Certified Reg. Nurse Practitioner
Phone
(908) 213-8808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 26NJ0018700
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 26NJ00018700 NJ Primary

Addresses

Primary practice location

210 Prospect Ave
Lower Level
Phillipsburg, NJ 08865-1518

Mailing address

210 Prospect Ave
Lower Level
Phillipsburg, NJ 08865-1518
Phone (908) 213-8808

Other identifiers 1

IdentifierTypeStateIssuer
8978000MedicaidNJ

Other names 1

  • Lehigh Valley Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070314000462 NJ Part B Supplier - Clinic/Group Practice 3476656398 Receives reassigned benefits from 1 practitioner
Practice locations: Phillipsburg, NJ

National Provider Directory

National Provider Directory

Locations

210 Prospect Ave
Lowr
Phillipsburg, NJ 08865
Phone (908) 213-8808

101 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 213-8808

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1174675169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PROSPECT AVE",
            "address_2": "LOWER LEVEL",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651518",
            "telephone_number": "908-213-8808",
            "fax_number": "908-213-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PROSPECT AVE",
            "address_2": "LOWER LEVEL",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651518",
            "telephone_number": "908-213-8808",
            "fax_number": "908-213-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPR FOR LIFE & HEALTH CARE CONSULTING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "DIEHL",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CERTIFIED REG. NURSE PRACTITIONER",
        "authorized_official_telephone_number": "908-213-8808",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,MSN,ND,ACNS-BC,NP"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": "26NJ0018700",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00018700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8978000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lehigh Valley Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.