Elena Detaranto, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP017498 Issued in PA

Practice address

1776 E Lancaster Ave
Paoli, PA 19301-1550

Phone

(610) 647-4366

NPI assigned

Jun 22, 2017

Last updated

Jun 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Family Practice and Counseling Services NetworkGroup PAC ID 7012424740, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Family Practice & Counseling Services Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1043204811
  Medicare reassignment Care Compare group NPD
• Resources for Human Development, Inc.

  dba LMCMS Peer Support

  • Community/Behavioral Health Agency
  • Bryn Mawr, PA
  • NPI 1548395585
  Medicare reassignment NPD
• Family Practice & Counseling Services Network

  dba Family Practice & Counseling Network

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1649991829
  NPD
• Family Practice & Counseling Services Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1689357782
  NPD
• Resources for Human Development, Inc.

  dba East Side Health Center

  • Federally Qualified Health Center (FQHC)
  • York, PA
  • NPI 1306127634
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1235659020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROWN ST UNIT 1621",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233356",
            "telephone_number": "201-407-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 E LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011550",
            "telephone_number": "610-647-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETARANTO",
        "first_name": "ELENA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen O Demutis, CRNP
• Denmark Associates, LLC
• Dental Health Associates, LTD.
• Dentist of Paoli Inc
• Elizabeth Dentremont, LPT
• Ronit Karpati Devon, MD
• Mary Elizabeth Diamond, D.O.
• Andrea Diaz
• Jamie L Dillinger, C.R.N.P.
• Mary Anita Dilloway, MD

• Family Nurse Practitioner in Paoli, PA
• Providers in Paoli, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.

Verify at the official NPI Registry.