Active NPI
Betsy E Grady, CRNP
- Nurse Practitioner
- Camp Hill, PA
National Provider Identifier
1679537773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- VP003483D
- Practice address
- 3399 Trindle Rd
Camp Hill, PA 17011 - Phone
- (717) 761-5530
- Fax
- (717) 737-7197
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | VP003483D | PA | Primary |
Addresses
Primary practice location
3399 Trindle Rd
Camp Hill, PA 17011
Mailing address
3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone (717) 761-5530
Other practice location 1
233 College Ave
Suite 200
Lancaster, PA 17603
Phone (717) 291-7221
Other practice location 2
233 College Ave
Suite 200
Lancaster, PA 17603-3372
Phone (717) 291-7221
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
| License | State | Type | Specialty |
|---|---|---|---|
| VP003483D | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster Pediatric Associates LTD | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Lancaster, PA
- NPI 1831175884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1679537773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3399 TRINDLE RD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114407",
"telephone_number": "717-761-5530",
"fax_number": "717-737-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3399 TRINDLE RD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "17011",
"telephone_number": "717-761-5530",
"fax_number": "717-737-7197"
}
],
"practiceLocations": [
{
"address_1": "233 College Ave",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "17603",
"country_code": "US",
"telephone_number": "717-291-7221",
"fax_number": "717-291-5447",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "233 College Ave",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176033372",
"country_code": "US",
"telephone_number": "717-291-7221",
"fax_number": "717-291-5447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRADY",
"first_name": "BETSY",
"middle_name": "E",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "VP003483D",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.