Active NPI
Kathy R Tolleson, MSN, DFNP
- Family Nurse Practitioner
- Chambersburg, PA
National Provider Identifier
1366676017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP010252
- Practice address
- 830 5TH Ave Ste 201
Chambersburg, PA 17201-4224 - Phone
- (717) 217-6804
- NPI assigned
- May 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP010252 | PA | Primary |
Addresses
Primary practice location
830 5TH Ave Ste 201
Chambersburg, PA 17201-4224
Mailing address
755 Norland Ave Ste 200
Chambersburg, PA 17201-4223
Phone (717) 263-2230
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191112000130 | PA | Order and Referring Only - Nurse Practitioner | 7214083567 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1366676017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 NORLAND AVE STE 200",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014223",
"telephone_number": "717-263-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 5TH AVE STE 201",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014224",
"telephone_number": "717-217-6804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLESON",
"first_name": "KATHY",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "MSN, DFNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-11",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP010252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.