Individual provider Active NPI

Dana Marie Ferry, CRNP

  • Occupational Health Nurse Practitioner
  • West Chester, PA
National Provider Identifier
1457984759
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
SP021222 Issued in PA
Practice address
915 Fern Hill Road
Building a Suite 3
West Chester, PA 19380
Phone
(610) 738-2450
NPI assigned
Feb 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X SP021222 PA Primary

Addresses

Primary practice location

915 Fern Hill Road
Building a Suite 3
West Chester, PA 19380

Mailing address

915 Fern Hill Rd
Building a Suite 3
West Chester, PA 19380
Phone (610) 738-2450

Other names 1

  • Dana Marie Buckalew Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EPIC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SP021222PAMDOccupational Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1581724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1457984759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 FERN HILL RD",
            "address_2": "BUILDING A SUITE 3",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "610-738-2450",
            "fax_number": "610-738-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 FERN HILL ROAD",
            "address_2": "BUILDING A SUITE 3",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "19380",
            "telephone_number": "610-738-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRY",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "PA",
            "license": "SP021222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "address_1": "915 Fern Hill Road",
            "address_2": "Building A Suite 3",
            "city": "West Chester",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "BUCKALEW",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.