Lifesavers CRNP LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LIFESAVERS CRNP LLC

Practice address

250 Deer Run Rd
Plymouth, PA 18651-4405

Phone

(570) 706-6800

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Sandra Federo, CRNPNPI 1447382270

Title

Nurse Practitioner

Phone

(570) 706-6800

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra J. Federo, CRNP

  • Family Nurse Practitioner
  • Cranberry Township, PA
  • NPI 1447382270
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1710721741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 DEER RUN RD",
            "city": "PLYMOUTH",
            "state": "PA",
            "postal_code": "186514405",
            "telephone_number": "570-706-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 DEER RUN RD",
            "city": "PLYMOUTH",
            "state": "PA",
            "postal_code": "186514405",
            "telephone_number": "570-706-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESAVERS CRNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "FEDERO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "570-706-6800",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E Joan Graham, D.O.
• Connie D Habersham-Johnson, LPN
• Andrew Joseph Krashnak III, DC DACRB CCN DACBN
• Frederick Francis Kuscavage Jr., ATC
• Shelly Ann Levulis, D.P.M.
• M Lodge, DPM
• Debra Ann McDonald
• Tiffany Mae Michalek
• N.E.P.a Foot & Ankle Specialists P.C.
• Amanda Marie Naperski, MS, LAT, ATC, CES

• Family Nurse Practitioner in Plymouth, PA
• Providers in Plymouth, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.