Individual provider Active NPI

Tina Marie Route, MSN, NP-C

  • Primary Care Nurse Practitioner
  • Towanda, PA
National Provider Identifier
1407297633
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SPO14286 Issued in PA
Practice address
132 Colonial Dr
Towanda, PA 18848-8107
Phone
(570) 265-6165
Fax
(570) 265-3616
NPI assigned
Jul 16, 2013
Last updated
Sep 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 542682-1 NY
Home Health Registered Nurse 163WH0200X RN550586 PA
Primary Care Nurse Practitioner 363LP2300X SPO14286 PA Primary

Addresses

Primary practice location

132 Colonial Dr
Towanda, PA 18848-8107

Mailing address

2476 Sylvania Rd
Troy, PA 16947-9603
Phone (607) 857-2589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150122001301 PA Practitioner - Nurse Practitioner 8123342128 Reassigns benefits to 2 organizations
I20190206000237 NY Practitioner - Nurse Practitioner 8123342128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearfield-Jefferson Primary Care Associates PCGroup PAC ID 6002064433, 73 clinicians

Practice addresses (Care Compare)

28 N Main St
Port Allegany, PA 16743-1324
Phone (814) 503-8070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
542682-1NYMDRegistered Nurse
RN550586PAMDHome Health Registered Nurse
SPO14286PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Dec 9, 2018 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Sep 1, 2015 Accepting new patients
Clearfield-Jefferson Primary Care Associates PC CurrentSince Oct 25, 2021 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Sep 1, 2015 Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

37 N Chemung St
Waverly, NY 14892
Phone (607) 565-2861

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

28 N Main St
Port Allegany, PA 16743
Phone (814) 642-0117

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

132 Colonial Dr
Towanda, PA 18848
Phone (570) 265-6165

91 Hospital Dr
Towanda, PA 18848
Phone (570) 268-2240

15900 Route 6
Troy, PA 16947
Phone (570) 297-4111

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1407297633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 SYLVANIA RD",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169479603",
            "telephone_number": "607-857-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 COLONIAL DR",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188488107",
            "telephone_number": "570-265-6165",
            "fax_number": "570-265-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUTE",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "542682-1",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "PA",
            "license": "RN550586",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SPO14286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towanda, PA

Sources for this page

Verify at the official NPI Registry.