Individual provider Active NPI

Karen Otto Badellino, ANP-BC

  • Adult Health Nurse Practitioner
  • Silverdale, PA
National Provider Identifier
1447556113
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP010913 Issued in PA
Practice address
164 West Main Street
Silverdale, PA 18962-0420
Phone
(215) 258-3810
Fax
(215) 258-3815
NPI assigned
Jan 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP010913 PA Primary

Addresses

Primary practice location

164 West Main Street
Silverdale, PA 18962-0420

Mailing address

PO Box 420
Silverdale, PA 18962-0420
Phone (215) 258-3810

Other names 1

  • Karen Lynn Badellino Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140123000149 PA Practitioner - Nurse Practitioner 0749418614 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP010913PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Oct 20, 2014 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 20, 2014 Accepting new patients

Locations

1627 Chew St
Ste 101
Allentown, PA 18102

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

2100 Mack Blvd
Fl 4
Allentown, PA 18103

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.

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1447556113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "city": "SILVERDALE",
            "state": "PA",
            "postal_code": "189620420",
            "telephone_number": "215-258-3810",
            "fax_number": "215-258-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 WEST MAIN STREET",
            "city": "SILVERDALE",
            "state": "PA",
            "postal_code": "189620420",
            "telephone_number": "215-258-3810",
            "fax_number": "215-258-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADELLINO",
        "first_name": "KAREN",
        "middle_name": "OTTO",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP010913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "BADELLINO",
            "middle_name": "LYNN",
            "credential": "ANP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Silverdale, PA

Sources for this page

Verify at the official NPI Registry.