Individual provider Active NPI

Colleen Marie Hermany, CRNP

  • Family Nurse Practitioner
  • Easton, PA
National Provider Identifier
1326678301
Registry record updated Jan 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021081 Issued in PA
Practice address
3701 Corriere Rd # 10
Easton, PA 18045-7991
Phone
(484) 591-7205
NPI assigned
Jan 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN646138 PA
Family Nurse Practitioner 363LF0000X SP021081 PA Primary

Addresses

Primary practice location

3701 Corriere Rd # 10
Easton, PA 18045-7991

Mailing address

234 W Vine St
Fleetwood, PA 19522-1212

Other practice location 1

1431 Nursery St
Fogelsville, PA 18051-1612
Phone (610) 821-4920

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherN/A

Other names 1

  • Colleen Marie Watson Former name

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
I20200303000499 PA Practitioner - Nurse Practitioner 6709213812 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN646138PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 1, 2020 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family CurrentSince Jul 1, 2021 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 1, 2020 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1611 Pond Rd
Ste 400
Allentown, PA 18104
Phone (610) 395-4300

2100 Mack Blvd
Fl 4
Allentown, PA 18103

120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101

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

3701 Corriere Rd
#10
Easton, PA 18045
Phone (484) 591-7205

1431 Nursery St
Fogelsville, PA 18051
Phone (484) 273-4343

3701 Corriere Rd
Ste 10
Palmer Township, PA 18045
Phone (484) 591-7060

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

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

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

292 Frantz Rd
Stroudsburg, PA 18360
Phone (570) 424-7390

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

Interoperability endpoints

  • Direct secure messaging: chermany414574@direct2.lvhn.org

Organizations & group practices 7

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": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579305600000",
    "number": "1326678301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 W VINE ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 CORRIERE RD # 10",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180457991",
            "telephone_number": "484-591-7205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 Nursery St",
            "address_purpose": "LOCATION",
            "city": "Fogelsville",
            "state": "PA",
            "postal_code": "180511612",
            "country_code": "US",
            "telephone_number": "610-821-4920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMANY",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-18",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN646138",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "WATSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.