Active NPI
Jennifer Perkins
- Critical Care Neonatal Nurse Practitioner
- Bryn Mawr, PA
National Provider Identifier
1407247109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- SP014729
- Practice address
- 130 S Bryn Mawr Ave
Bryn Mawr, PA 19010 - Phone
- (484) 337-3000
- NPI assigned
- Feb 17, 2015
- 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 |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | SP014729 | PA | Primary |
Addresses
Primary practice location
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Mailing address
PO Box 191
Rockland, DE 19732-0191
Phone (302) 651-4200
Other practice location 1
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-3084
Other practice location 2
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-3084
Other practice location 3
255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (484) 565-1000
Other practice location 4
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone (484) 726-2000
Other practice location 5
1068 W Baltimore Pike
Media, PA 19063-5104
Phone (610) 891-6432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP014729 | PA | MD | Critical Care Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1407247109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"telephone_number": "302-651-4200",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S BRYN MAWR AVE",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "19010",
"telephone_number": "484-337-3000"
}
],
"practiceLocations": [
{
"address_1": "3401 Civic Center Blvd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044319",
"country_code": "US",
"telephone_number": "215-590-3084",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 Civic Center Blvd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044319",
"country_code": "US",
"telephone_number": "215-590-3084",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "255 W Lancaster Ave",
"address_purpose": "LOCATION",
"city": "Paoli",
"state": "PA",
"postal_code": "193011763",
"country_code": "US",
"telephone_number": "484-565-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E Lancaster Ave",
"address_purpose": "LOCATION",
"city": "Wynnewood",
"state": "PA",
"postal_code": "190963450",
"country_code": "US",
"telephone_number": "484-726-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1068 W Baltimore Pike",
"address_purpose": "LOCATION",
"city": "Media",
"state": "PA",
"postal_code": "190635104",
"country_code": "US",
"telephone_number": "610-891-6432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERKINS",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-17",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "PA",
"license": "SP014729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.