Active NPI
Susan E Metzger, CRNP
- Nurse Practitioner
- Reading, PA
National Provider Identifier
1346233244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- TP001782G
- Practice address
- 530 Kenhorst Blvd
Reading, PA 19611-1716 - Phone
- (610) 775-7133
- Fax
- (610) 775-8658
- NPI assigned
- Aug 25, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | TP001782G | PA | Primary |
Addresses
Primary practice location
530 Kenhorst Blvd
Reading, PA 19611-1716
Mailing address
530 Kenhorst Blvd
Reading, PA 19611-1716
Phone (610) 775-7133
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME381531 | Other | PA | HIGHMARK BLUE SHIELD |
| 50079139 | Other | PA | CAPITAL BLUE CROSS |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1346233244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 KENHORST BLVD",
"city": "READING",
"state": "PA",
"postal_code": "196111716",
"telephone_number": "610-775-7133",
"fax_number": "610-775-8658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 KENHORST BLVD",
"city": "READING",
"state": "PA",
"postal_code": "196111716",
"telephone_number": "610-775-7133",
"fax_number": "610-775-8658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZGER",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "TP001782G",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "ME381531",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50079139",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.