Individual provider Active NPI

Karen Tiedeken, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1184730723
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
SP003541 Issued in PA
Practice address
3900 Hamilton Blvd
Suite 201
Allentown, PA 18103-6122
Phone
(484) 664-7555
Fax
(484) 664-7530
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X SP003541 PA Primary

Addresses

Primary practice location

3900 Hamilton Blvd
Suite 201
Allentown, PA 18103-6122

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

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
I20080618000651 PA Practitioner - Nurse Practitioner 4587735550 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

3900 Hamilton Blvd
Suite 201
Allentown, PA 18103-6122
Phone (484) 664-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP003541PAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jul 15, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 5, 2002 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 5, 2002 Accepting new patients
Family Care Centers Inc. Current Accepting new patients
Hazleton Professional Services CurrentSince Jul 15, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 15, 2020 Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jul 15, 2020 Accepting new patients
Family Care Centers Inc CurrentSince Apr 16, 2017 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

3900 Hamilton Blvd
Ste 201
Allentown, PA 18103
Phone (484) 664-7520

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

228 Independence Rd
East Stroudsburg, PA 18301
Phone (570) 420-9227

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

1000 Alliance Dr
Hazleton, PA 18202
Phone (570) 501-6400

237 S Mountain Blvd
Ste 7
Mountain Top, PA 18707
Phone (570) 261-5000

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

171 Red Horse Rd
Pottsville, PA 17901
Phone (570) 628-2229

6 S Greenview Rd
Schuylkill Haven, PA 17972
Phone (570) 366-3915

700 Lawn Ave
Fl 1
Sellersville, PA 18960
Phone (215) 453-4753

600 Commerce Blvd
Stroudsburg, PA 18360
Phone (570) 424-7390

Interoperability endpoints

  • Direct secure messaging: ktiedeken9640@direct2.lvhn.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1184730723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HAMILTON BLVD",
            "address_2": "SUITE 201",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036122",
            "telephone_number": "484-664-7555",
            "fax_number": "484-664-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEDEKEN",
        "first_name": "KAREN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP003541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.