Individual provider Active NPI

Kimberly Ann Lafferty, F.N.P.

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1376978221
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000705 Issued in DE
Practice address
774 Christiana Rd Ste 109
Newark, DE 19713-4248
Phone
(302) 444-8156
Fax
(302) 731-8158
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000705 DE Primary

Addresses

Primary practice location

774 Christiana Rd Ste 109
Newark, DE 19713-4248

Mailing address

774 Christiana Rd Ste 109
Newark, DE 19713-4248
Phone (302) 444-8156

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
I20230831000865 PA Practitioner - Nurse Practitioner 0244466159 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Willow Wellness PCGroup PAC ID 5597271577, 118 clinicians

Practice addresses (Care Compare)

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

Merit-based Incentive Payment System (MIPS)

Final score
26.42 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
88.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000705DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Willow Wellness PC CurrentSince Dec 13, 2025 Accepting new patients
Vital Healthcare Solutions CurrentSince Jul 17, 2023 Accepting new patients
SNF Specialty Services CurrentSince Jan 10, 2024 Accepting new patients

Locations

50 N Malin Rd
Broomall, PA 19008
Phone (610) 356-0800

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

283 Lancaster Ave
Malvern, PA 19355
Phone (610) 296-4170

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

845 Germantown Pike
Plymouth Mtng, PA 19462
Phone (610) 279-7300

2395 Lancaster Pike
Fl 1
Reading, PA 19607
Phone (570) 561-2990

1600 Black Rock Rd
Royersford, PA 19468
Phone (610) 792-2224

Organizations & group practices 3

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": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1376978221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD STE 109",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134248",
            "telephone_number": "302-444-8156",
            "fax_number": "302-731-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD STE 109",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134248",
            "telephone_number": "302-444-8156",
            "fax_number": "302-731-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.