Active NPI
Tina Marie Route, MSN, NP-C
- Primary Care Nurse Practitioner
- Towanda, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- SPO14286
- 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, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 542682-1 | NY | MD | Registered Nurse |
| RN550586 | PA | MD | Home Health Registered Nurse |
| SPO14286 | PA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Clearfield-Jefferson Primary Care Associates PC | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | 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.
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1710233895
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Internal Medicine Physician
- Towanda, PA
- NPI 1992986699
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.