Active NPI
Carolyn S Deloe, CRNP
- Family Nurse Practitioner
- Gettysburg, PA
National Provider Identifier
1538198130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP006628B
- Practice address
- 1275 York Rd Ste 17
Gettysburg, PA 17325-7565 - Phone
- (717) 337-9400
- Fax
- (717) 337-1205
- NPI assigned
- Jul 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R152040 | MD | |
| Family Nurse Practitioner | 363LF0000X | SP006628B | PA | Primary |
Addresses
Primary practice location
1275 York Rd Ste 17
Gettysburg, PA 17325-7565
Mailing address
116 S George St
York, PA 17401-1474
Phone (717) 846-5846
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105161 | Other | PA | JOHNS HOPKINS |
| 50081734 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 1916438 | Other | PA | HIGHMARK FREEDOM BLUE |
| 1551672 | Other | PA | GATEWAY-YH |
| 50061346 | Other | PA | CAPITAL BLUE CROSS-YH |
| 1082034 | Other | PA | HEALTH AMERICA/HEALTH ASSURANCE |
| 617840 | Other | MD | CAREFIRST MD BCBS |
Other names 1
- Carolyn L Spalding
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP006628B | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Past | Accepting new patients |
Interoperability endpoints
- carolyn.deloe@direct-address.net
- carolyn.deloe1@direct-address.net
- carolyn.deloe.1@7492.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1538198130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174011474",
"telephone_number": "717-846-5846",
"fax_number": "717-854-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK RD STE 17",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173257565",
"telephone_number": "717-337-9400",
"fax_number": "717-337-1205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELOE",
"first_name": "CAROLYN",
"middle_name": "S",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R152040",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP006628B",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "105161",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "50081734",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK FREEDOM BLUE",
"identifier": "1916438",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-YH",
"identifier": "1551672",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-YH",
"identifier": "50061346",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA/HEALTH ASSURANCE",
"identifier": "1082034",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "617840",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "SPALDING",
"middle_name": "L",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.