Active NPI
Kirstin Liu, CRNP
- Family Nurse Practitioner
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP014359
- Practice address
- 1098 W Baltimore Pike
Suite 3404 Riddle Health Center 3
Media, PA 19063-5139 - Phone
- (610) 627-4170
- Fax
- (610) 627-4224
- NPI assigned
- Sep 3, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP014359 | PA | Primary |
Addresses
Primary practice location
1098 W Baltimore Pike
Suite 3404 Riddle Health Center 3
Media, PA 19063-5139
Mailing address
1098 W Baltimore Pike
Suite 3404 Riddle Health Center 3
Media, PA 19063-5139
Phone (610) 627-4170
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Current | Accepting new patients | |
| Riddle Healthcare Associates | Past | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
1098 W Baltimore Pike
Ste 3404
Media, PA 19063
Phone (610) 627-4170
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
Organizations & group practices 2
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.
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- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
-
- Obstetrics & Gynecology Physician
- Media, PA
- NPI 1487767752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1720488208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1098 W BALTIMORE PIKE",
"address_2": "SUITE 3404 RIDDLE HEALTH CENTER 3",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635139",
"telephone_number": "610-627-4170",
"fax_number": "610-627-4224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1098 W BALTIMORE PIKE",
"address_2": "SUITE 3404 RIDDLE HEALTH CENTER 3",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635139",
"telephone_number": "610-627-4170",
"fax_number": "610-627-4224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "KIRSTIN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP014359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.