Individual provider Active NPI

Wanda F Cacho, FNP-BC MSN RN

  • Family Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1184296121
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN611196 Issued in PA
Practice address
2536 Garden CT
Bethlehem, PA 18017-3904
Phone
(484) 294-1146
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN611196 PA Primary

Addresses

Primary practice location

2536 Garden CT
Bethlehem, PA 18017-3904

Mailing address

2536 Garden CT
Bethlehem, PA 18017-3904
Phone (484) 294-1146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220321000291 PA Practitioner - Nurse Practitioner 5991024002 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN611196PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Centers of the Lehigh Valley Current Accepting new patients
Neighborhood Health Centers of the Lehigh Valley CurrentSince Nov 29, 2023 Accepting new patients
Quality Community Health Care, Inc. CurrentSince Feb 17, 2022 Accepting new patients
Onsight Health Care LLC Family CurrentSince Feb 6, 2026 Accepting new patients
Neighborhood Health Centers of the Lehigh Valley Past Accepting new patients

Locations

218 N 2nd St
Allentown, PA 18102
Phone (484) 640-1200

160 Hamilton St
Allentown, PA 18101
Phone (610) 477-0105

1210 E 4th St
Bethlehem, PA 18015
Phone (484) 408-0755

635 E Broad St
Bethlehem, PA 18018
Phone (610) 820-7605

1101 Northampton St
Easton, PA 18042
Phone (484) 544-3113

2595 Interstate Dr
Ste 103
Harrisburg, PA 17110
Phone (386) 672-4222

2501 W Lehigh Ave
Philadelphia, PA 19132
Phone (215) 227-0300

Interoperability endpoints

  • Direct secure messaging: wanda.cacho.1@21036.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1184296121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 GARDEN CT",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173904",
            "telephone_number": "484-294-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 GARDEN CT",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173904",
            "telephone_number": "484-294-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACHO",
        "first_name": "WANDA",
        "middle_name": "F",
        "credential": "FNP-BC MSN RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN611196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.