Individual provider Active NPI

Carol Gullo Mest, CRNP

  • Adult Health Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1649694894
Registry record updated Feb 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
UP000891C2 Issued in PA
Practice address
7248 Tilghman St
Suite 160
Allentown, PA 18106-9355
Phone
(610) 336-8000
Fax
(610) 336-6082
NPI assigned
Feb 8, 2014
Last updated
Feb 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X UP000891C2 PA Primary

Addresses

Primary practice location

7248 Tilghman St
Suite 160
Allentown, PA 18106-9355

Mailing address

1930 Black River Rd
Bethlehem, PA 18015-8919
Phone (610) 867-9919

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
UP000891C2PAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1391817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391817600000",
    "number": "1649694894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BLACK RIVER RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180158919",
            "telephone_number": "610-867-9919",
            "fax_number": "610-282-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7248 TILGHMAN ST",
            "address_2": "SUITE 160",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069355",
            "telephone_number": "610-336-8000",
            "fax_number": "610-336-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEST",
        "first_name": "CAROL",
        "middle_name": "GULLO",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-08",
        "last_updated": "2014-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "UP000891C2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.