Organization Active NPI

Care Coordination of PA PC

  • Primary Care Nurse Practitioner
  • Exton, PA
National Provider Identifier
1699456574
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
CARE COORDINATION OF PA PC
Practice address
600 Eagleview Blvd
Office 367 Suite 300
Exton, PA 19341
Phone
(502) 592-8271
NPI assigned
Jul 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Authorized official

Name
Marianne Longo
Title
Chief Clinical Officer
Phone
(860) 990-1335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

600 Eagleview Blvd
Office 367 Suite 300
Exton, PA 19341

Mailing address

33 S State St Ste 500
Chicago, IL 60603-2809

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1699456574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 S STATE ST STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAGLEVIEW BLVD",
            "address_2": "OFFICE 367 SUITE 300",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "502-592-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE COORDINATION OF PA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "LONGO",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "860-990-1335"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.