Katrina Canterbury, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP030770 Issued in PA

Practice address

3151 Walbert Ave Ste 202
Allentown, PA 18104-6042

Phone

(484) 426-2468

Fax

(484) 426-2469

NPI assigned

Sep 27, 2024

Last updated

Sep 27, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kcanterbury276347@direct-sluhn.org

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.

• St. Luke's Physician Group Inc.

  • Cardiovascular Disease Physician
  • Bethlehem, PA
  • NPI 1700264819
  NPD (past)

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1265250450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 WALBERT AVE STE 202",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046042",
            "telephone_number": "484-426-2468",
            "fax_number": "484-426-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 WALBERT AVE STE 202",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046042",
            "telephone_number": "484-426-2468",
            "fax_number": "484-426-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTERBURY",
        "first_name": "KATRINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Candio
• Riley Kay Cann, WHNP/CNM
• Emily Elizabeth Cannon, ATC,LAT
• Gregory Cannon, D.O.
• Megan Cannon, PH.D.
• John W Canzano, DMD
• Kristin Capece, PHARMD, BCGP
• Jennifer R Capobianco, OT
• Lindsay Capobianco
• Madhavi Capoccia, D.O.

• Nurse Practitioner in Allentown, PA
• Providers in Allentown, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.