Individual provider Active NPI

Adrienne Noelle Salaneck, APRN

  • Pediatric Nurse Practitioner
  • Shillington, PA
National Provider Identifier
1629052816
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP008858 Issued in PA
Practice address
14 Philadelphia Ave
Shillington, PA 19607-2757
Phone
(610) 871-3856
Fax
(610) 871-7889
NPI assigned
Dec 1, 2005
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP008858 PA
Pediatric Nurse Practitioner 363LP0200X SP008858 PA Primary

Addresses

Primary practice location

14 Philadelphia Ave
Shillington, PA 19607-2757

Mailing address

14 Philadelphia Ave
Shillington, PA 19607-2757
Phone (610) 871-3856

Other practice location 1

655 Walnut St
West Reading, PA 19611-1242
Phone (610) 372-9222 ext. 931

Other identifiers 1

IdentifierTypeStateIssuer
102579995MedicaidPA

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
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP008858PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Always Sunny Pediatrics Family CurrentSince Jul 21, 2024 Accepting new patients

Locations

14 Philadelphia Ave
Unit 1
Shillington, PA 19607
Phone (610) 871-3856

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1629052816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PHILADELPHIA AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072757",
            "telephone_number": "610-871-3856",
            "fax_number": "610-871-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PHILADELPHIA AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072757",
            "telephone_number": "610-871-3856",
            "fax_number": "610-871-7889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Walnut St",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "196111242",
            "country_code": "US",
            "telephone_number": "610-372-9222 x931",
            "fax_number": "610-372-0232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALANECK",
        "first_name": "ADRIENNE",
        "middle_name": "NOELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008858",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP008858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102579995",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shillington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.