Individual provider Active NPI

Nichole L Hartman, CRNP

  • Family Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1437185238
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP007589 Issued in PA
Practice address
36 University Dr
Johnson Hall, Health and Wellness Center
Bethlehem, PA 18015-3061
Phone
(610) 758-3870
Fax
(610) 758-5833
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP007589 PA Primary

Addresses

Primary practice location

36 University Dr
Johnson Hall, Health and Wellness Center
Bethlehem, PA 18015-3061

Mailing address

36 University Dr
Johnson Hall, Health and Wellness Center
Bethlehem, PA 18015-3061
Phone (610) 758-3870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 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
I20121114000259 PA Practitioner - Nurse Practitioner 6002067386 Reassigns benefits to 1 organization
I20221114001790 VA Practitioner - Nurse Practitioner 6002067386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP007589PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Sep 18, 2012 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Sep 18, 2012 Accepting new patients

Locations

1210 E 4th St
Bethlehem, PA 18015
Phone (484) 408-0755

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: nichole.hartman.1@21036.direct.athenahealth.com
  • Direct secure messaging: nhartman@landmarkhealth-direct.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1437185238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 UNIVERSITY DR",
            "address_2": "JOHNSON HALL, HEALTH AND WELLNESS CENTER",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180153061",
            "telephone_number": "610-758-3870",
            "fax_number": "610-758-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 UNIVERSITY DR",
            "address_2": "JOHNSON HALL, HEALTH AND WELLNESS CENTER",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180153061",
            "telephone_number": "610-758-3870",
            "fax_number": "610-758-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "NICHOLE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.