Active NPI
Karen Tiedeken, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- SP003541
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP003541 | PA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schuylkill Health System Medical Group, Inc. | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Family Care Centers Inc. | Current | Accepting new patients | |
| Hazleton Professional Services | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Valley Health Partners Community Health Center | Current | Accepting new patients | |
| Schuylkill Health System Medical Group, Inc. | Current | Accepting new patients | |
| Family Care Centers Inc | Current | 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
- 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.
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
dba Lehigh Valley Physician Group - Pocono
- Internal Medicine Physician
- E Stroudsburg, PA
- NPI 1669563037
-
dba Lehigh Valley Physician Group-Hazleton
- Internal Medicine Physician
- Hazleton, PA
- NPI 1952464638
-
dba Lehigh Valley Physician Group-Schuylkill
- Internal Medicine Physician
- Pottsville, PA
- NPI 1588603567
-
dba VHP - Lehigh Valley Physicians Practice
- Federally Qualified Health Center (FQHC)
- Allentown, PA
- NPI 1932735651
-
dba LVPG ExpressCare Pocono
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1316409626
-
dba LVPG Family Medicine - Hamburg
- Family Medicine Physician
- Hamburg, PA
- NPI 1134218209
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
-
- General Practice Physician
- Hazleton, PA
- NPI 1942609599
-
dba LVPG ExpressCare Schuylkill
- Emergency Medicine Physician
- Pottsville, PA
- NPI 1063073823
-
dba VHP- Center for Women's Medicine
- Federally Qualified Health Center (FQHC)
- Allentown, PA
- NPI 1770118648
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.