Active NPI
Kathleen Coulter, CRNP
- Adult Health Nurse Practitioner
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP006850C
- Practice address
- 340 N Middletown Rd
Media, PA 19063-5597 - Phone
- (610) 891-5600
- NPI assigned
- Feb 21, 2006
- Last updated
- May 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP025692 | PA | |
| Adult Health Nurse Practitioner | 363LA2200X | SP006850C | PA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | SP006851H | PA |
Addresses
Primary practice location
340 N Middletown Rd
Media, PA 19063-5597
Mailing address
248 Springhouse LN
Media, PA 19063-5347
Phone (610) 721-0277
Other practice location 1
1 E Beacon Light Ln
Chester, PA 19013-4433
Phone (610) 490-3900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
340 N Middletown Rd
Fair Acres Nursing Home
Glen Riddle Lima, PA 19037-3977
Phone (610) 891-5840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP006850C | PA | MD | Adult Health Nurse Practitioner |
| SP006851H | PA | MD | Gerontology Nurse Practitioner |
| SP025692 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Gerontology Associates LLP | Multi-Specialty | Current | Accepting new patients |
| Bonner Physiatry Associates | Multi-Specialty | Current | Accepting new patients |
| Advanced Health & Psychiatry, PLLC | Multi-Specialty | Current | Accepting new patients |
| Carriage House Medical Group, LLC | Multi-Specialty | Past | Accepting new patients |
| Physical Therapy Physicians PC | Multi-Specialty | Past | Accepting new patients |
| Hearsay ENT Docs LLC | Multi-Specialty | Past | Accepting new patients |
Locations
1 E Beacon Light Ln
Chester, PA 19013
Phone (610) 490-3900
340 N Middletown Rd
Media, PA 19063
Phone (610) 565-7810
340 N Middletown Rd
#H
Media, PA 19063
Phone (610) 891-5715
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Media, PA
- NPI 1710616065
Multi-Specialty
-
- Physical Medicine & Rehabilitation Physician
- Chester, PA
- NPI 1285654129
Multi-Specialty
-
- Internal Medicine Physician
- Flourtown, PA
- NPI 1578607305
Multi-Specialty
-
- Physical Medicine & Rehabilitation Physician
- Chester, PA
- NPI 1619142353
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1487629663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 SPRINGHOUSE LN",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635347",
"telephone_number": "610-721-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 N MIDDLETOWN RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635597",
"telephone_number": "610-891-5600"
}
],
"practiceLocations": [
{
"address_1": "1 E Beacon Light Ln",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "PA",
"postal_code": "190134433",
"country_code": "US",
"telephone_number": "610-490-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COULTER",
"first_name": "KATHLEEN",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP025692",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP006850C",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP006851H",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.