Individual provider Active NPI

Justina Theresa Anthony

  • Acute Care Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1235838152
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP027028 Issued in PA
Practice address
1671 Crooked Oak Dr FL 1
Lancaster, PA 17601-4269
Phone
(717) 569-5331
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP027028 PA Primary

Addresses

Primary practice location

1671 Crooked Oak Dr FL 1
Lancaster, PA 17601-4269

Mailing address

153 Front St FL 1
Lititz, PA 17543-1503
Phone (215) 292-8346

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
I20230413001576 PA Practitioner - Nurse Practitioner 7618342239 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027028PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Jan 7, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Apr 2, 2023 Accepting new patients
Lancaster General Medical Group CurrentSince Apr 2, 2023 Accepting new patients
Lancaster General Hospital CurrentSince Jan 7, 2024 Accepting new patients
Lancaster General Medical Group Current Accepting new patients

Locations

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

1671 Crooked Oak Dr
Fl 1
Lancaster, PA 17601
Phone (717) 569-5331

2100 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3030

1671 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-5331

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1701 Cornwall Rd
Lebanon, PA 17042
Phone (717) 675-1750

Organizations & group practices 5

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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1235838152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 FRONT ST FL 1",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175431503",
            "telephone_number": "215-292-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 CROOKED OAK DR FL 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014269",
            "telephone_number": "717-569-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "JUSTINA",
        "middle_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP027028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.