Katrice Elaine Werley, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

OA005523 Issued in PA

Practice address

4250 Manor Dr
Stroudsburg, PA 18360-9415

Phone

(570) 992-3232

NPI assigned

Jan 22, 2021

Last updated

Apr 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1720678840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 MANOR DR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609415",
            "telephone_number": "570-992-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 MANOR DR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609415",
            "telephone_number": "570-992-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Pike County Blvd",
            "address_purpose": "LOCATION",
            "city": "Hawley",
            "state": "PA",
            "postal_code": "184289151",
            "country_code": "US",
            "telephone_number": "570-775-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15927 US-6",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "PA",
            "postal_code": "16947",
            "country_code": "US",
            "telephone_number": "570-297-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Stark St",
            "address_purpose": "LOCATION",
            "city": "Tunkhannock",
            "state": "PA",
            "postal_code": "186571207",
            "country_code": "US",
            "telephone_number": "570-836-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERLEY",
        "first_name": "KATRICE",
        "middle_name": "ELAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA062288",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA005523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.