Active NPI
Selena Lorraine Dipaolo, MSN CRNP
- Nurse Practitioner
- Camp Hill, PA
National Provider Identifier
1447246038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- VP005264B
- Practice address
- 503 N 21St St
Camp Hill, PA 17011-2204 - Phone
- (717) 763-2100
- NPI assigned
- Sep 20, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | VP005264B | PA | |
| Nurse Practitioner | 363L00000X | VP005264B | PA | Primary |
Addresses
Primary practice location
503 N 21St St
Camp Hill, PA 17011-2204
Mailing address
3430 Valley Rd
Marysville, PA 17053-9519
Phone (717) 957-3566
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513898 | Medicaid | PA | |
| 50041900 | Other | PA | CAPITAL BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VP005264B | PA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1447246038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 VALLEY RD",
"city": "MARYSVILLE",
"state": "PA",
"postal_code": "170539519",
"telephone_number": "717-957-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 N 21ST ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112204",
"telephone_number": "717-763-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPAOLO",
"first_name": "SELENA",
"middle_name": "LORRAINE",
"name_prefix": "Mrs.",
"credential": "MSN CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "VP005264B",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "VP005264B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513898",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BC",
"identifier": "50041900",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.