Active NPI
Pamela Z Cacchione, PHD, CRNP, BC
- Gerontology Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1407297179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 018136
- Practice address
- 4508 Chestnut St
Philadelphia, PA 19139-3608 - Phone
- (215) 572-7300
- NPI assigned
- Jul 10, 2013
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 018136 | PA | Primary |
Addresses
Primary practice location
4508 Chestnut St
Philadelphia, PA 19139-3608
Mailing address
4508 Chestnut St
Philadelphia, PA 19139-3608
Phone (215) 572-7300
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1407297179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4508 CHESTNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191393608",
"telephone_number": "215-572-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4508 CHESTNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191393608",
"telephone_number": "215-572-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACCHIONE",
"first_name": "PAMELA",
"middle_name": "Z",
"name_prefix": "Prof.",
"credential": "PHD, CRNP, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "018136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.