Active NPI
Kimberly Coronado, BS
- Psychologist
- Fountain Hill, PA
National Provider Identifier
1346724622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 826 Delaware Ave
Fountain Hill, PA 18015-1174 - Phone
- (610) 419-3101
- NPI assigned
- Sep 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
826 Delaware Ave
Fountain Hill, PA 18015-1174
Mailing address
229 E Tioga St
Allentown, PA 18103-5123
Phone (484) 358-6409
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
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1346724622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 E TIOGA ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035123",
"telephone_number": "484-358-6409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 DELAWARE AVE",
"city": "FOUNTAIN HILL",
"state": "PA",
"postal_code": "180151174",
"telephone_number": "610-419-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONADO",
"first_name": "KIMBERLY",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.