Active NPI
Joan Rooney, RN/CRNP
- Primary Care Nurse Practitioner
- Willow Grove, PA
National Provider Identifier
1396705604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- SP004371C
- Practice address
- 2360 Maryland Rd
Willow Grove, PA 19090-1709 - Phone
- (215) 657-6776
- Fax
- (267) 913-5961
- NPI assigned
- Mar 23, 2006
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | SP004371C | PA | Primary |
Addresses
Primary practice location
2360 Maryland Rd
Willow Grove, PA 19090-1709
Mailing address
2360 Maryland Rd
Willow Grove, PA 19090-1709
Phone (215) 657-6776
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP004371C | PA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311724800000",
"number": "1396705604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 MARYLAND RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901709",
"telephone_number": "215-657-6776",
"fax_number": "267-913-5964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 MARYLAND RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901709",
"telephone_number": "215-657-6776",
"fax_number": "267-913-5961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROONEY",
"first_name": "JOAN",
"name_prefix": "Mrs.",
"credential": "RN/CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2011-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP004371C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.