Individual provider Active NPI

Atley Aaron, PNP-PC

  • Pediatric Nurse Practitioner
  • West Grove, PA
National Provider Identifier
1194331462
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP022343 Issued in PA
Practice address
105 Vineyard Way
West Grove, PA 19390-8849
Phone
(410) 259-4428
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP022343 PA Primary

Addresses

Primary practice location

105 Vineyard Way
West Grove, PA 19390-8849

Mailing address

941 Cedarwood Ave
West Chester, PA 19380-1404
Phone (410) 259-4428

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Aaaron@LCHSP.org Direct

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
I20210315000593 PA Practitioner - Nurse Practitioner 9830504273 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LCH Health and Community Services CurrentSince Mar 11, 2021 Accepting new patients
LCH Health and Community Services CurrentSince Mar 11, 2021 Accepting new patients
LCH Health and Community Services Current Accepting new patients

Locations

731 W Cypress St
Kennett Square, PA 19348
Phone (610) 444-7550

14 S 3rd St
Oxford, PA 19363
Phone (610) 444-7550

Organizations & group practices 3

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1194331462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 CEDARWOOD AVE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801404",
            "telephone_number": "410-259-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VINEYARD WAY",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908849",
            "telephone_number": "410-259-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AARON",
        "first_name": "ATLEY",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP022343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Aaaron@LCHSP.org",
            "affiliation": "N",
            "endpointDescription": "Secure work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 Vineyard Way",
            "city": "West Grove",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193908849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

Verify at the official NPI Registry.