Individual provider Active NPI

Erica Contreras, RN

  • Medically Fragile Infants and Children Day Care
  • Bath, PA
National Provider Identifier
1215772447
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
License
51114001 Issued in PA
Practice address
2437 Plaza CT
Bath, PA 18014-8762
Phone
(610) 365-2252
Fax
(610) 365-2355
NPI assigned
Jun 28, 2024
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medically Fragile Infants and Children Day Care 261QM3000X 51114001 PA Primary

Addresses

Primary practice location

2437 Plaza CT
Bath, PA 18014-8762

Mailing address

2437 Plaza CT
Bath, PA 18014-8762
Phone (610) 365-2252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
51114001PAMDMedically Fragile Infants and Children Day Care

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Stars Ppecc, LLC Medically Fragile Infants and Children Day Care CurrentSince Jul 21, 2024 Accepting new patients

Locations

2437 Plaza Ct
Bath, PA 18014
Phone (610) 365-2252

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1215772447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 PLAZA CT",
            "city": "BATH",
            "state": "PA",
            "postal_code": "180148762",
            "telephone_number": "610-365-2252",
            "fax_number": "610-365-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 PLAZA CT",
            "city": "BATH",
            "state": "PA",
            "postal_code": "180148762",
            "telephone_number": "610-365-2252",
            "fax_number": "610-365-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "ERICA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "PA",
            "license": "51114001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.