Individual provider Active NPI

Kanan Patel, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Yardley, PA
National Provider Identifier
1619731049
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP029256 Issued in PA
Practice address
1356 Lexington Dr
Yardley, PA 19067-4436
Phone
(215) 760-9478
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP029256 PA Primary

Addresses

Primary practice location

1356 Lexington Dr
Yardley, PA 19067-4436

Mailing address

1356 Lexington Dr
Yardley, PA 19067-4436
Phone (215) 760-9478

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
I20240612004368 PA Practitioner - Nurse Practitioner 5496297848 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029256PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Merakey Delaware County CurrentSince Apr 24, 2024 Accepting new patients
Merakey Delaware County CurrentSince Apr 24, 2024 Accepting new patients
Blackbird Clinical Services Past Accepting new patients

Locations

620 Germantown Pike
Lafayette Hl, PA 19444
Phone (313) 278-2327

800 Chester Pike
Sharon Hill, PA 19079
Phone (610) 534-3636

Interoperability endpoints

  • Direct secure messaging: kanan.patel.1@32853.direct.athenahealth.com

Organizations & group practices 3

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": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1619731049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 LEXINGTON DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674436",
            "telephone_number": "215-760-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 LEXINGTON DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674436",
            "telephone_number": "215-760-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KANAN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.