Individual provider Active NPI

Nicole Kash, CRNP

  • Gerontology Nurse Practitioner
  • Center Valley, PA
National Provider Identifier
1578078176
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP018116 Issued in PA
Practice address
3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237
Phone
(484) 626-0480
Fax
(484) 896-9002
NPI assigned
Dec 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP018116 PA
Gerontology Nurse Practitioner 363LG0600X SP018116 PA Primary

Addresses

Primary practice location

3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237

Mailing address

1 E Broad St Ste 130
Bethlehem, PA 18018-5934
Phone (484) 626-0480

Other practice location 1

1240 S Cedar Crest Blvd Ste 401
Allentown, PA 18103-6218
Phone (610) 402-7880

Other names 1

  • Nicole Lanzetta 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
I20180102000033 PA Practitioner - Nurse Practitioner 2961760632 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosenfeld Vanwirt PCGroup PAC ID 5698909117, 29 clinicians
RFVW Healthcare, PCGroup PAC ID 1153866900, 33 clinicians

Practice addresses (Care Compare)

1 S Home Ave
Topton, PA 19562-1317
Phone (610) 682-1275

3477 Corporate Pkwy
Suite 100
Center Valley, PA 18034-8237
Phone (484) 626-0480

Hospital & facility affiliations

  • Accentcare Health of Pennsylvania Home health agency, Bristol, PA, CCN 397472

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018116PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. CurrentSince Dec 1, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 18, 2017 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 18, 2017 Accepting new patients
RFVW Healthcare PC CurrentSince Sep 1, 2024 Accepting new patients
Rosenfeld Vanwirt PC CurrentSince Nov 1, 2021 Accepting new patients
Albert Gallatin Home Care and Hospice Services, LLC Past Accepting new patients

Locations

1605 N Cedar Crest Blvd
Ste 411
Allentown, PA 18104
Phone (610) 969-1917

1605 N Cedar Crest Blvd
Ste 110B
Allentown, PA 18104
Phone (610) 973-1410

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1240 S Cedar Crest Blvd
Ste 401
Allentown, PA 18103
Phone (610) 402-3650

1 E Broad St
Ste 130
Bethlehem, PA 18018

3477 Corporate Pkwy
Ste 100
Center Valley, PA 18034
Phone (484) 626-0480

3477 Corporate Pkwy
Center Valley, PA 18034
Phone (484) 614-5264

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

395 Middle Rd
Nanticoke, PA 18634
Phone (570) 735-2973

1 S Home Ave
Topton, PA 19562
Phone (610) 682-1275

1368 Mall Run Rd
Ste 628
Uniontown, PA 15401
Phone (724) 438-6660

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1578078176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E BROAD ST STE 130",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185934",
            "telephone_number": "484-626-0480",
            "fax_number": "484-896-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 CORPORATE PKWY STE 100",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348237",
            "telephone_number": "484-626-0480",
            "fax_number": "484-896-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 S Cedar Crest Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036218",
            "country_code": "US",
            "telephone_number": "610-402-7880",
            "fax_number": "610-402-7881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASH",
        "first_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP018116",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP018116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LANZETTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.