Active NPI
Mary Elizabeth Patterson, CRNA
- Registered Nurse
- Chester, PA
National Provider Identifier
1386913341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN565804
- Practice address
- 30 Medical Center Blvd
Suite 105
Chester, PA 19013-3955 - Phone
- (610) 874-6448
- NPI assigned
- Dec 21, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN565804 | PA | Primary |
Addresses
Primary practice location
30 Medical Center Blvd
Suite 105
Chester, PA 19013-3955
Mailing address
646 Leverington Ave
Philadelphia, PA 19128-2606
Phone (610) 608-2615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Anesthesia | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1336470467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1386913341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 LEVERINGTON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191282606",
"telephone_number": "610-608-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MEDICAL CENTER BLVD",
"address_2": "SUITE 105",
"city": "CHESTER",
"state": "PA",
"postal_code": "190133955",
"telephone_number": "610-874-6448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN565804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.