Karen Camille Cruz

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN287255 Issued in PA

Practice address

5500 Tabor Ave Ste 301
Philadelphia, PA 19120-2124

Phone

(215) 245-2131

NPI assigned

Jul 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Elite Home Health Care Inc.

  • Home Health Agency
  • Jenkintown, PA
  • NPI 1821164294

  Licensed Practical Nurse

  NPD (past)

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1356969935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W COLLINS CT",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124905",
            "telephone_number": "856-577-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 TABOR AVE STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202124",
            "telephone_number": "215-245-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "KAREN",
        "middle_name": "CAMILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN287255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Cruz, M.D.
• Jannette Cruz
• Jennifer Lynn Cruz, FNP-BC
• Jessica Anne Cruz
• Josey Allayna Cruz, BT
• Kathleen Cruz, DO
• Lia Catherine Cruz, D.O.
• Mario Cruz Jr., M.D.
• Melissa Cruz, L.C.S.W.
• Nikiya Cruz

• Licensed Practical Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.