Active NPI
Kristen Josephs
- Family Nurse Practitioner
- Jenkintown, PA
National Provider Identifier
1356868079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP020024
- Practice address
- 835 Old York Rd
Jenkintown, PA 19046 - Phone
- (866) 389-2727
- NPI assigned
- Aug 23, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7730-33 | WI | |
| Family Nurse Practitioner | 363LF0000X | SP020024 | PA | Primary |
Addresses
Primary practice location
835 Old York Rd
Jenkintown, PA 19046
Mailing address
835 Old York Rd
Jenkintown, PA 19046-1601
Phone (866) 389-2727
Other practice location 1
4777 88th Ave
Kenosha, WI 53144-7439
Phone (262) 605-6700
Other practice location 2
561 Fairthorne Ave
Philadelphia, PA 19128-2412
Phone (800) 235-0200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP020024 | PA | MD | Family Nurse Practitioner |
| 7730-33 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551571200000",
"number": "1356868079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 OLD YORK RD",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190461601",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 OLD YORK RD",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "19046",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "4777 88th Ave",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531447439",
"country_code": "US",
"telephone_number": "262-605-6700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "561 Fairthorne Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191282412",
"country_code": "US",
"telephone_number": "800-235-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPHS",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2019-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "7730-33",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP020024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.