Individual provider Active NPI

Kalia C. Cole-Avery, CRNP

  • Women's Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1265802953
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
LH-0010264 Issued in DE
Practice address
800 Walnut St
14TH Floor
Philadelphia, PA 19107-5176
Phone
(215) 829-8000
NPI assigned
Oct 7, 2015
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X LH-0010264 DE Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X SP015335 PA
Registered Nurse 163W00000X L1-0070537 DE
Registered Nurse 163W00000X RN608307 PA

Addresses

Primary practice location

800 Walnut St
14TH Floor
Philadelphia, PA 19107-5176

Mailing address

800 Walnut St
14TH Floor
Philadelphia, PA 19107-5176
Phone (215) 829-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160112001738 PA Practitioner - Nurse Practitioner 7315249059 Reassigns benefits to 2 organizations
I20221031000636 DE Practitioner - Nurse Practitioner 7315249059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

3506 Kennett Pike
Suite 100
Wilmington, DE 19807-3019
Phone (302) 661-3375

721 E Baltimore Pike
CCHS OB/GYN PA
Kennett Square, PA 19348-2405
Phone (302) 661-3374

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0070537DEMDRegistered Nurse
RN608307PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University CurrentSince Nov 8, 2015 Accepting new patients
Christiana Care Health Services Inc Obstetrics & Gynecology CurrentSince Oct 12, 2022 Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Drexel University CurrentSince Nov 8, 2015 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 12, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 12, 2022 Accepting new patients
Drexel University Current Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Christiana Care Pennsylvania Inc Past Accepting new patients

Locations

4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

3506 Kennett Pike
Ste 100
Wilmington, DE 19807
Phone (302) 661-3375

161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

721 E Baltimore Pike
Kennett Square, PA 19348
Phone (302) 661-3374

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

Organizations & group practices 10

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": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1265802953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WALNUT ST",
            "address_2": "14TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075176",
            "telephone_number": "215-829-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WALNUT ST",
            "address_2": "14TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075176",
            "telephone_number": "215-829-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE-AVERY",
        "first_name": "KALIA",
        "middle_name": "C.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "DE",
            "license": "LH-0010264",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP015335",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0070537",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN608307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.