NPIMap

Individual provider Active NPI

Alexander F Talarico, NP-C

  • Family Nurse Practitioner
  • Kutztown, PA
National Provider Identifier
1346849197
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022479 Issued in PA
Practice address
15065 Kutztown Rd Ste 400
Kutztown, PA 19530-9220
Phone
(484) 658-2801
NPI assigned
Oct 22, 2020
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022479 PA Primary

Addresses

Primary practice location

15065 Kutztown Rd Ste 400
Kutztown, PA 19530-9220

Mailing address

15065 Kutztown Rd Ste 400
Kutztown, PA 19530-9220
Phone (484) 658-2801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230317000156 PA Practitioner - Nurse Practitioner 4587038351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1040 Chestnut St
Emmaus, PA 18049-1952
Phone (610) 966-5549

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jun 26, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 26, 2024 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Apr 2, 2023 Accepting new patients
St. Luke's Physician Group, Inc CurrentSince Apr 2, 2023 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

1040 Chestnut St
Emmaus, PA 18049
Phone (610) 966-5188

15065 Kutztown Rd
Ste 400
Kutztown, PA 19530
Phone (484) 658-2801

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Interoperability endpoints

  • Direct secure messaging: atalarico34332@direct2.lvhn.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1346849197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15065 KUTZTOWN RD STE 400",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195309220",
            "telephone_number": "484-658-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15065 KUTZTOWN RD STE 400",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195309220",
            "telephone_number": "484-658-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALARICO",
        "first_name": "ALEXANDER",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kutztown, PA

Sources for this page

Verify at the official NPI Registry.