Individual provider Active NPI

Natalie Difeo, CRNP

  • Pediatric Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1366657157
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP008996 Issued in PA
Practice address
34TH & Civic Center Blvd
5 Wood-Pulmonary
Philadelphia, PA 19104
Phone
(215) 590-4106
Fax
(215) 590-3500
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP008996 PA Primary

Addresses

Primary practice location

34TH & Civic Center Blvd
5 Wood-Pulmonary
Philadelphia, PA 19104

Mailing address

12 Endslow LN
Perkasie, PA 18944-2600
Phone (215) 258-0129

Other names 1

  • Natalie McCleary Difeo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119003257 PA Practitioner - Nurse Practitioner 6507391190 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Centers of the Lehigh Valley Current Accepting new patients

Locations

218 N 2nd St
Allentown, PA 18102
Phone (484) 640-1200

160 Hamilton St
Allentown, PA 18101
Phone (610) 477-0105

1210 E 4th St
Bethlehem, PA 18015
Phone (484) 408-0755

635 E Broad St
Bethlehem, PA 18018
Phone (610) 820-7605

1101 Northampton St
Easton, PA 18042
Phone (484) 544-3113

Interoperability endpoints

  • Direct secure messaging: natalie.difeo.1@21036.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366657157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ENDSLOW LN",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189442600",
            "telephone_number": "215-258-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34TH & CIVIC CENTER BLVD",
            "address_2": "5 WOOD-PULMONARY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-590-4106",
            "fax_number": "215-590-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFEO",
        "first_name": "NATALIE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP008996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "DIFEO",
            "middle_name": "MCCLEARY",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.