Active NPI
Paterina Patricia Ralph, LPN
- Licensed Practical Nurse
- Elkins Park, PA
National Provider Identifier
1720734353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN301547
- Practice address
- 805 Stratford Ave Ste 1a
Elkins Park, PA 19027-3502 - Phone
- (267) 701-5301
- Fax
- (267) 627-2450
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN301547 | PA | Primary |
Addresses
Primary practice location
805 Stratford Ave Ste 1a
Elkins Park, PA 19027-3502
Mailing address
805 Stratford Ave Ste 1a
Elkins Park, PA 19027-3502
Phone (267) 701-5301
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN301547 | PA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1720734353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 STRATFORD AVE STE 1A",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190273502",
"telephone_number": "267-701-5301",
"fax_number": "267-627-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 STRATFORD AVE STE 1A",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190273502",
"telephone_number": "267-701-5301",
"fax_number": "267-627-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALPH",
"first_name": "PATERINA",
"middle_name": "PATRICIA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN301547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.