Individual provider Active NPI

Cara Joy Torres, CRNP

  • Women's Health Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1225307630
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP012812 Issued in PA
Practice address
802 New Holland Ave Ste 200
Lancaster, PA 17602-2288
Phone
(717) 299-6371
Fax
(717) 396-3897
NPI assigned
Dec 14, 2011
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP012812 PA Primary

Addresses

Primary practice location

802 New Holland Ave Ste 200
Lancaster, PA 17602-2288

Mailing address

304 N Water St
Lancaster, PA 17603-3374
Phone (717) 299-6371

Other names 1

  • Cara Joy Tiedeken Former name

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
I20140430000607 PA Practitioner - Nurse Practitioner 9931367661 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP012812PAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Feb 10, 2014 Accepting new patients
Union Community Care CurrentSince Jun 1, 2016 Accepting new patients
Union Community Care CurrentSince Jun 1, 2016 Accepting new patients
Lancaster General Hospital CurrentSince Feb 10, 2014 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Lancaster General Hospital Past Accepting new patients

Locations

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

694 Good Dr
Lancaster, PA 17601
Phone 71739781771890

694 Good Dr
Ste 200
Lancaster, PA 17601
Phone (717) 544-3514

802 New Holland Ave
Ste 200
Lancaster, PA 17602
Phone (717) 291-0700

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

Organizations & group practices 6

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": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1225307630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N WATER ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033374",
            "telephone_number": "717-299-6371",
            "fax_number": "717-945-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 NEW HOLLAND AVE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022288",
            "telephone_number": "717-299-6371",
            "fax_number": "717-396-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "CARA",
        "middle_name": "JOY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP012812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "TIEDEKEN",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.