NPIMap

Organization Active NPI

Community Resource Nurse Practitioners, LLC

Doing business as Community Resource Nurse Practitioners

  • Family Nurse Practitioner
  • Stroudsburg, PA
National Provider Identifier
1386888774
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
COMMUNITY RESOURCE NURSE PRACTITIONERS, LLC
Doing business as
Community Resource Nurse Practitioners
Practice address
1154A W Main St
Stroudsburg, PA 18360-1323
Phone
(570) 424-1235
Fax
(570) 424-1259
NPI assigned
Apr 29, 2009
Last updated
Feb 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Lily Palladino
Title
Practice Manager
Phone
(570) 424-1235

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

1154A W Main St
Stroudsburg, PA 18360-1323

Mailing address

1154A W Main St
Stroudsburg, PA 18360-1323
Phone (570) 424-1235

Other names 1

  • Community Resource Nurse Practitioners Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1386888774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154A W MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601323",
            "telephone_number": "570-424-1235",
            "fax_number": "570-424-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154A W MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601323",
            "telephone_number": "570-424-1235",
            "fax_number": "570-424-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESOURCE NURSE PRACTITIONERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "PALLADINO",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "570-424-1235"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Resource Nurse Practitioners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.