Lea Janeen Kephart

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

UP006012H Issued in PA

Practice address

321 Norristown Rd Ste 100
Ambler, PA 19002-2793

Phone

(267) 640-4675

NPI assigned

Sep 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lea Janeen Lannutti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1376791004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 E CATHEDRAL RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281204",
            "telephone_number": "215-508-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 NORRISTOWN RD STE 100",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022793",
            "telephone_number": "267-640-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPHART",
        "first_name": "LEA",
        "middle_name": "JANEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-06",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "UP006012H",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "PA",
            "license": "RN507305L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "LANNUTTI",
            "middle_name": "JANEEN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Kantrowitz, LBS
• Jeff Katowitz, LMFT
• Brian Charles Keeley, DO
• Amy Mara Keitz, PT
• Joseph Brian Kennedy
• Kathleen Kerrigan, RDMS
• Stephanie Keyte, MS, RDN, IFNCP, CLT
• Khloe Beth Hui & Associates LLC
• Ashley Kim
• Cheryl Kim

• Gerontology Nurse Practitioner in Ambler, PA
• Providers in Ambler, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.