Active NPI
Maura Anna Bernardo
- Pediatric Nurse Practitioner
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP018537
- Practice address
- 1210 S Cedar Crest Blvd Ste 2400
Allentown, PA 18103-6235 - Phone
- (610) 402-3888
- Fax
- (302) 651-5967
- NPI assigned
- Aug 17, 2010
- Last updated
- Feb 2, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LJ-0000323 | DE | |
| Pediatric Nurse Practitioner | 363LP0200X | SP018537 | PA | Primary |
Addresses
Primary practice location
1210 S Cedar Crest Blvd Ste 2400
Allentown, PA 18103-6235
Mailing address
2100 Mack Blvd
Allentown, PA 18103-5622
Phone (484) 884-4500
Other names 1
- Maura Coulter
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LJ-0000323 | DE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Nurse Practitioner | Current | Accepting new patients |
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| Childen's Health Care Associates Inc. | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
1210 S Cedar Crest Blvd
Ste 2400
Allentown, PA 18103
Phone (610) 402-3888
2100 Mack Blvd
Fl 4
Allentown, PA 18103
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
Interoperability endpoints
- mbernardo866564@direct2.lvhn.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1598869059
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
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- NPI 1780155689
-
dba CHCA Nurse Practitioners
- Pediatric Registered Nurse
- Philadelphia, PA
- NPI 1699860643
-
dba CHCA Gastroenterology & Nutrition
- Pediatric Gastroenterology Physician
- Philadelphia, PA
- NPI 1801981857
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
Nurse Practitioner
-
- Pulmonary Disease Physician
- Allentown, PA
- NPI 1245209022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1184939993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035622",
"telephone_number": "484-884-4500",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S CEDAR CREST BLVD STE 2400",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036235",
"telephone_number": "610-402-3888",
"fax_number": "302-651-5967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARDO",
"first_name": "MAURA",
"middle_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-17",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LJ-0000323",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP018537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAURA",
"last_name": "COULTER",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 2, 2024; 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.