Anita Desai, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP004048N Issued in PA

Practice address

1530 8TH Ave
1St Floor, Suite 102
Bethlehem, PA 18018-1883

Phone

(484) 526-2100

NPI assigned

Jun 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anita.desai.1@11391.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/11391/brand/2/csg/21/fhir/r4

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.

• Good Shepherd Rehabilitation Hospital

  • Physical Medicine & Rehabilitation Physician
  • Allentown, PA
  • NPI 1427035039
  Medicare reassignment NPD
• Good Shepherd Rehabilitation Hospital

  • Rehabilitation Hospital
  • Center Valley, PA
  • NPI 1255374799
  NPD

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1700299062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 8TH AVE",
            "address_2": "1ST FLOOR, SUITE 102",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181883",
            "telephone_number": "484-526-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 8TH AVE",
            "address_2": "1ST FLOOR, SUITE 102",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181883",
            "telephone_number": "484-526-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP004048N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Santiago Depietro, P.T.
• Christine Depope
• Kerissa Deppe, CRNP
• Robert Dequevedo, MD
• Amanda Lynn Derea, PT, DPT
• Ravi V Desai, M.D
• Shivani Kashyap Desai, MD
• Shree Desai, DO
• Spandan Desai, MD
• Alfonse Desanto III, LAT, ATC

• Pediatric Nurse Practitioner in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.