Active NPI
Loretta A. Dandrea, M.D.
- Pediatric Emergency Medicine (Pediatrics) Physician
- State College, PA
National Provider Identifier
1477516367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- MD044934L
- Practice address
- 3901 S Atherton St
Suite 5
State College, PA 16801-8324 - Phone
- (814) 466-7921
- Fax
- (814) 466-6570
- NPI assigned
- Apr 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | MD044934L | PA | Primary |
Addresses
Primary practice location
3901 S Atherton St
Suite 5
State College, PA 16801-8324
Mailing address
3901 S Atherton St
Suite 5
State College, PA 16801-8324
Phone (814) 466-7921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012617630003 | Medicaid | PA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044934L | PA | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477516367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 S ATHERTON ST",
"address_2": "SUITE 5",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168018324",
"telephone_number": "814-466-7921",
"fax_number": "814-466-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 S ATHERTON ST",
"address_2": "SUITE 5",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168018324",
"telephone_number": "814-466-7921",
"fax_number": "814-466-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANDREA",
"first_name": "LORETTA",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "PA",
"license": "MD044934L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012617630003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.