Active NPI
Liza Natasha Jainarine, DNP
- Family Nurse Practitioner
- West Reading, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP024246
- Practice address
- 420 S 5TH Ave BLDG N
West Reading, PA 19611-2143 - Phone
- (484) 628-0900
- NPI assigned
- Jul 13, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN524952L | PA | |
| Family Nurse Practitioner | 363LF0000X | SP024246 | PA | Primary |
Addresses
Primary practice location
420 S 5TH Ave BLDG N
West Reading, PA 19611-2143
Mailing address
333 Cottman Ave
Philadelphia, PA 19111-2497
Phone (215) 214-1465
Other practice location 1
333 Cottman Ave
Philadelphia, PA 19111-2434
Phone (215) 439-4215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.1 of 100
- Quality
- 77.19
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 79.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN524952L | PA | MD | Registered Nurse |
| SP024246 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reading Hospital | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Reading Hospital | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan, Inc | Current | Accepting new patients | |
| Reading Hospital | Current | Accepting new patients |
Locations
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
3500 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3656
333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893
420 S 5th Ave
Bldg N
West Reading, PA 19611
Phone (484) 628-0900
206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1417529116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 COTTMAN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112497",
"telephone_number": "215-214-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S 5TH AVE BLDG N",
"city": "WEST READING",
"state": "PA",
"postal_code": "196112143",
"telephone_number": "484-628-0900"
}
],
"practiceLocations": [
{
"address_1": "333 Cottman Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191112434",
"country_code": "US",
"telephone_number": "215-439-4215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAINARINE",
"first_name": "LIZA",
"middle_name": "NATASHA",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-13",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN524952L",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP024246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.