Individual provider Active NPI

Sue Helen Mustalish, RN

  • Registered Nurse
  • West Chester, PA
National Provider Identifier
1306451745
Registry record updated Sep 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
219852L Issued in PA
Practice address
706 E Market St Ste 7B
West Chester, PA 19382-4839
Phone
(610) 405-0709
NPI assigned
Sep 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 219852L PA Primary

Addresses

Primary practice location

706 E Market St Ste 7B
West Chester, PA 19382-4839

Mailing address

255 Fairview Rd
East Fallowfield Township, PA 19320-4448
Phone (610) 405-0709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
219852LPAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1306451745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 FAIRVIEW RD",
            "city": "EAST FALLOWFIELD TOWNSHIP",
            "state": "PA",
            "postal_code": "193204448",
            "telephone_number": "610-405-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 E MARKET ST STE 7B",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824839",
            "telephone_number": "610-405-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTALISH",
        "first_name": "SUE",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-12",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "219852L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; 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.