Individual provider Active NPI

Katlyn Elizabeth Salvatore, CRNP

  • Family Nurse Practitioner
  • Meadowbrook, PA
National Provider Identifier
1538565221
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP014478 Issued in PA
Practice address
1650 Huntingdon Pike
Suite 258
Meadowbrook, PA 19046-8004
Phone
(215) 938-7730
Fax
(215) 938-7125
NPI assigned
Nov 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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 SP014478 PA Primary

Addresses

Primary practice location

1650 Huntingdon Pike
Suite 258
Meadowbrook, PA 19046-8004

Mailing address

1650 Huntingdon Pike
Suite 258
Meadowbrook, PA 19046-8004
Phone (215) 938-7730

Other identifiers 1

IdentifierTypeStateIssuer
103105045MedicaidPA

Other names 1

  • Katlyn Matthews Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150128001077 PA Practitioner - Nurse Practitioner 5991029860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Isaac Health, P.a.Group PAC ID 1850767880, 27 clinicians

Practice addresses (Care Compare)

1025 Easton Rd
Suite 1152
Willow Grove, PA 19090-2023
Phone (888) 818-2059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP014478PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Isaac Health, P.a. CurrentSince Dec 9, 2025 Accepting new patients

Locations

4530 S Orange Blossom Trl
Orlando, FL 32839
Phone (321) 444-2110

1025 Easton Rd
Willow Grove, PA 19090
Phone (237) 209-0795

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.

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1538565221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 258",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-938-7730",
            "fax_number": "215-938-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 258",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-938-7730",
            "fax_number": "215-938-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVATORE",
        "first_name": "KATLYN",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103105045",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLYN",
            "last_name": "MATTHEWS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.