Individual provider Active NPI

Nancy Roe, CRNP

  • Pediatric Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1598970873
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
UP004021D Issued in PA
Practice address
708 N Shady Retreat Rd
Suites 3 and 4
Doylestown, PA 18901-2503
Phone
(215) 345-6090
Fax
(215) 345-6119
NPI assigned
May 11, 2007
Last updated
Dec 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X UP004021D PA Primary

Addresses

Primary practice location

708 N Shady Retreat Rd
Suites 3 and 4
Doylestown, PA 18901-2503

Mailing address

708 N Shady Retreat Rd
Suites 3 and 4
Doylestown, PA 18901-2503
Phone (215) 345-6090

Other identifiers 4

IdentifierTypeStateIssuer
RN239457LOtherPARN LICENSE
UP004021DOtherPACRNP LICENSE
96699OtherPANURSING CERTIFICATE
000998OtherPAPRESCRIPTION AUTH

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
UP004021DPAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1598970873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 N SHADY RETREAT RD",
            "address_2": "SUITES 3 AND 4",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012503",
            "telephone_number": "215-345-6090",
            "fax_number": "215-345-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N SHADY RETREAT RD",
            "address_2": "SUITES 3 AND 4",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012503",
            "telephone_number": "215-345-6090",
            "fax_number": "215-345-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "NANCY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "UP004021D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN239457L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP LICENSE",
            "identifier": "UP004021D",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING CERTIFICATE",
            "identifier": "96699",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTION AUTH",
            "identifier": "000998",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.