Individual provider Active NPI

Beth Ann Kotarski, C.R.N.P

  • Family Nurse Practitioner
  • Bryn Mawr, PA
National Provider Identifier
1487991691
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
VP006640B Issued in PA
Practice address
101 N Merion Ave
Bryn Mawr, PA 19010-2859
Phone
(610) 526-7360
Fax
(610) 526-7365
NPI assigned
Jan 8, 2013
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X VP006640B PA Primary

Addresses

Primary practice location

101 N Merion Ave
Bryn Mawr, PA 19010-2859

Mailing address

300 Joy LN
West Chester, PA 19380-5110
Phone (610) 918-3860

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
VP006640BPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swarthmore College Student Health Service Past Accepting new patients
Bryn Mawr College Health Center PastSince Feb 26, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1487991691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JOY LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805110",
            "telephone_number": "610-918-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MERION AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102859",
            "telephone_number": "610-526-7360",
            "fax_number": "610-526-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTARSKI",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "C.R.N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "VP006640B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.