Active NPI
Misericordia University
- Family Nurse Practitioner
- Dallas, PA
National Provider Identifier
1366911620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MISERICORDIA UNIVERSITY
- Practice address
- 301 Lake St
Dallas, PA 18612-7752 - Phone
- (570) 674-6432
- Fax
- (570) 674-3062
- NPI assigned
- Nov 16, 2018
- Last updated
- Nov 29, 2018
- Organization subpart
- Yes
- Parent organization
- MISERICORDIA UNIVERSITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra J. Federo, DNP, CRNP-BC
- Title
- Nurse Practitioner/Director
- Phone
- (570) 674-6432
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
301 Lake St
Dallas, PA 18612-7752
Mailing address
301 Lake St
Dallas, PA 18612-7752
Phone (570) 674-6432
National Provider Directory
National Provider Directory- Tax ID family
- Misericordia University
- Part of
- Misericordia University
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Dallas, PA
- NPI 1013221498
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Cranberry Township, PA
- NPI 1447382270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543449600000",
"number": "1366911620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LAKE ST",
"city": "DALLAS",
"state": "PA",
"postal_code": "186127752",
"telephone_number": "570-674-6432",
"fax_number": "570-674-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 LAKE ST",
"city": "DALLAS",
"state": "PA",
"postal_code": "186127752",
"telephone_number": "570-674-6432",
"fax_number": "570-674-3062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISERICORDIA UNIVERSITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MISERICORDIA UNIVERSITY",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-29",
"status": "A",
"authorized_official_last_name": "FEDERO",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "NURSE PRACTITIONER/DIRECTOR",
"authorized_official_telephone_number": "570-674-6432",
"authorized_official_credential": "DNP, CRNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.