Individual provider Active NPI

Kirstin Maria Patragnoni-Sauter, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1699989004
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00032500 Issued in NJ
Practice address
120 Madison Avenue
Virtua Phoenix OB/GYN- Mount Holly- Suite #B
Philadelphia, PA 19144-5497
Phone
(609) 444-5500
Fax
(609) 444-5506
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
College Health Registered Nurse 163WC1400X SP007724 PA
Family Nurse Practitioner 363LF0000X 26NJ00032500 NJ Primary

Addresses

Primary practice location

120 Madison Avenue
Virtua Phoenix OB/GYN- Mount Holly- Suite #B
Philadelphia, PA 19144-5497

Mailing address

1624 Brown St
Philadelphia, PA 19130-2807
Phone (856) 278-3191

Other names 1

  • Kirstin Maria Sauter Former name

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
SP007724PAMDCollege Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1699989004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 BROWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302807",
            "telephone_number": "856-278-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MADISON AVENUE",
            "address_2": "VIRTUA PHOENIX OB/GYN- MOUNT HOLLY- SUITE #B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191445497",
            "telephone_number": "609-444-5500",
            "fax_number": "609-444-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRAGNONI-SAUTER",
        "first_name": "KIRSTIN",
        "middle_name": "MARIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "PA",
            "license": "SP007724",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00032500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTIN",
            "last_name": "SAUTER",
            "middle_name": "MARIA",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.