Individual provider Active NPI

Daniel Harmuth, FNP-BC

  • Family Nurse Practitioner
  • Lake Ariel, PA
National Provider Identifier
1346646114
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016078 Issued in PA
Practice address
543 Easton Tpke
Suite 105
Lake Ariel, PA 18436-4798
Phone
(570) 689-9965
NPI assigned
Nov 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 339261 NY
Family Nurse Practitioner 363LF0000X SP016078 PA Primary

Addresses

Primary practice location

543 Easton Tpke
Suite 105
Lake Ariel, PA 18436-4798

Mailing address

601 Park St
Honesdale, PA 18431-1445
Phone (570) 689-9965

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
I20170201000374 PA Order and Referring Only - Nurse Practitioner 4486936275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
339261NYMDPsychiatry Physician
SP016078PAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1346646114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PARK ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311445",
            "telephone_number": "570-689-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 EASTON TPKE",
            "address_2": "SUITE 105",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184364798",
            "telephone_number": "570-689-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMUTH",
        "first_name": "DANIEL",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-06",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339261",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ariel, PA

Sources for this page

Verify at the official NPI Registry.