Active NPI
Amy Jo Pence, CRNP
- Family Nurse Practitioner
- Royersford, PA
National Provider Identifier
1477824217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP011879
- Practice address
- 307 S Lewis Rd
Royersford, PA 19468-1828 - Phone
- (610) 792-0300
- Fax
- (610) 792-3790
- NPI assigned
- Jan 25, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP011879 | PA | Primary |
Addresses
Primary practice location
307 S Lewis Rd
Royersford, PA 19468-1828
Mailing address
1591 Medical Dr
Pottstown, PA 19464-3224
Phone (610) 326-8005
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP011879 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1477824217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1591 MEDICAL DR",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194643224",
"telephone_number": "610-326-8005",
"fax_number": "610-327-9629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S LEWIS RD",
"city": "ROYERSFORD",
"state": "PA",
"postal_code": "194681828",
"telephone_number": "610-792-0300",
"fax_number": "610-792-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENCE",
"first_name": "AMY",
"middle_name": "JO",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-25",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP011879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royersford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.