Individual provider Active NPI

Tori Gollie, CRNP

  • Family Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1245929546
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027192 Issued in PA
Practice address
3080 Hamilton Blvd Ste 300
Allentown, PA 18103-3694
Phone
(610) 402-5988
Fax
(610) 402-5989
NPI assigned
May 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP027192 PA Primary

Addresses

Primary practice location

3080 Hamilton Blvd Ste 300
Allentown, PA 18103-3694

Mailing address

2100 Mack Blvd
Allentown, PA 18103-5622
Phone (610) 402-5988

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
I20230717003615 PA Practitioner - Nurse Practitioner 5698135093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1337 Blue Valley Dr
Suite 8
Pen Argyl, PA 18072-1815
Phone (610) 654-1230

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jul 1, 2023 Accepting new patients
Family Care Centers Inc CurrentSince Sep 11, 2023 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Current Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Sep 11, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 1, 2023 Accepting new patients
Family Care Centers Inc. Current Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

3080 Hamilton Blvd
Ste 300
Allentown, PA 18103
Phone (610) 402-5988

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

200 E Brown St
East Stroudsburg, PA 18301
Phone (570) 476-3700

384 Airport Rd
Hazle Township, PA 18202
Phone (570) 501-1242

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

1337 Blue Valley Dr
Ste 8
Pen Argyl, PA 18072
Phone (610) 654-1230

1337 Blue Valley Dr
Pen Argyl, PA 18072
Phone (610) 654-1200

1337 Blue Valley Dr
Ste 7
Pen Argyl, PA 18072
Phone (610) 654-1270

101 W 7th St
Ste 2A
Pennsburg, PA 18073
Phone (215) 257-4866

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

100 Community Dr
Tobyhanna, PA 18466
Phone (570) 424-2100

Organizations & group practices 9

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1245929546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "610-402-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 HAMILTON BLVD STE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033694",
            "telephone_number": "610-402-5988",
            "fax_number": "610-402-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLIE",
        "first_name": "TORI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.