NPIMap

Individual provider Active NPI

Lauren A Colavita, CRNP

  • Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1447083928
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
SP030438 Issued in PA
Practice address
306 S New St Ste 301
Bethlehem, PA 18015-1652
Phone
(484) 503-7474
Fax
(833) 203-6416
NPI assigned
Aug 21, 2024
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X SP030438 PA Primary

Addresses

Primary practice location

306 S New St Ste 301
Bethlehem, PA 18015-1652

Mailing address

306 S New St Ste 301
Bethlehem, PA 18015-1652
Phone (484) 503-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240909002654 PA Practitioner - Nurse Practitioner 1153861836 Reassigns benefits to 1 organization
I20250520001041 NJ Practitioner - Nurse Practitioner 1153861836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

2403 Butler St
Easton, PA 18042-5302
Phone (484) 526-7474

306 S New St
Bethlehem, PA 18015-1652

306 S New Street
Bethlehem, PA 18015-1652

39 Roseberry St
Suite 2
Phillipsburg, NJ 08865-1627
Phone (908) 847-1037

4051 Freemansburg Ave
Easton, PA 18045-5596
Phone (484) 503-7474

6689 Sullivan TRL
Wind Gap, PA 18091-9790
Phone (610) 954-4960

6695 Sullivan TRL
Suite 201
Wind Gap, PA 18091-9790
Phone (610) 691-3131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP030438PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc CurrentSince Sep 29, 2024 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Feb 12, 2025 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Feb 12, 2025 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Sep 29, 2024 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
St. Luke's Physician Group, Inc. PastSince Aug 25, 2024 Accepting new patients

Locations

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

39 Roseberry St
Ste 2
Phillipsburg, NJ 08865
Phone (908) 847-1037

409 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 213-0029

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

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

Interoperability endpoints

  • Direct secure messaging: lcolavita278901@direct-sluhn.org

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1447083928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S NEW ST STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151652",
            "telephone_number": "484-503-7474",
            "fax_number": "833-203-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S NEW ST STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151652",
            "telephone_number": "484-503-7474",
            "fax_number": "833-203-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAVITA",
        "first_name": "LAUREN",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "SP030438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.