Active NPI
Crystal Rothbart
- Registered Nurse
- Lincoln University, PA
National Provider Identifier
1366270100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R240671
- Practice address
- 21 Spring Hill Dr
Lincoln University, PA 19352-1320 - Phone
- (609) 705-6524
- NPI assigned
- Jul 23, 2024
- Last updated
- Jul 23, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R240671 | MD | Primary |
Addresses
Primary practice location
21 Spring Hill Dr
Lincoln University, PA 19352-1320
Mailing address
21 Spring Hill Dr
Lincoln University, PA 19352-1320
Phone (609) 705-6524
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 |
|---|---|---|---|
| R240671 | MD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1366270100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SPRING HILL DR",
"city": "LINCOLN UNIVERSITY",
"state": "PA",
"postal_code": "193521320",
"telephone_number": "609-705-6524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SPRING HILL DR",
"city": "LINCOLN UNIVERSITY",
"state": "PA",
"postal_code": "193521320",
"telephone_number": "609-705-6524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHBART",
"first_name": "CRYSTAL",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R240671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln University, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.