Active NPI
Edith A Condict, CRNP
- Family Nurse Practitioner
- Wellsboro, PA
National Provider Identifier
1538314976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP009991
- Practice address
- 1B Main St
Wellsboro, PA 16901-1601 - Phone
- (570) 724-7100
- Fax
- (570) 724-1501
- NPI assigned
- Nov 26, 2008
- 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 | SP009991 | PA | Primary |
Addresses
Primary practice location
1B Main St
Wellsboro, PA 16901-1601
Mailing address
1B Main St
Wellsboro, PA 16901-1601
Phone (570) 724-7100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP009991 | Other | PA | CRNP LICENSE NUMBER |
| 008829 | Other | PA | CRNP PRESCRIPTIVE AUTHORITY NUMBER |
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
- Credentials
- Certified Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1538314976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1B MAIN ST",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169011601",
"telephone_number": "570-724-7100",
"fax_number": "570-724-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1B MAIN ST",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169011601",
"telephone_number": "570-724-7100",
"fax_number": "570-724-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDICT",
"first_name": "EDITH",
"middle_name": "A",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-26",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP009991",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNP LICENSE NUMBER",
"identifier": "SP009991",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNP PRESCRIPTIVE AUTHORITY NUMBER",
"identifier": "008829",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wellsboro, PA
- Concern-Professional Services for Children, Youth & Families
- Concern-Professional Services for Children, Youth & Families
- Concern-Professional Services for Children, Youth & Families
- Concern-Professional Services for Children, Youth & Families
- Concern-Professional Services for Children, Youth & Families
- Kathleen M Cost, NP
- Trinity Dawn Cowburn, MA, BSL
- Laura Crilley, FNP
- Crossroads Counseling, Inc.
- Christal Crowell, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.