Active NPI
Catherine Cruz, LPN
- Licensed Practical Nurse
- Lebanon, PA
National Provider Identifier
1407253164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN254568L
- Practice address
- 740 N 25TH St
Lebanon, PA 17046-2615 - Phone
- (717) 306-8395
- NPI assigned
- Nov 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN254568L | PA | Primary |
Addresses
Primary practice location
740 N 25TH St
Lebanon, PA 17046-2615
Mailing address
740 N 25TH St
Lebanon, PA 17046-2615
Phone (717) 306-8395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN254568L | Other | PA | COMMONWEALTH OF PA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL A |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN254568L | PA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1407253164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 N 25TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170462615",
"telephone_number": "717-306-8395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 N 25TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170462615",
"telephone_number": "717-306-8395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-24",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN254568L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF PA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL A",
"identifier": "PN254568L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.