Darlene Mary Pidgeon, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP007283 Issued in PA

Practice address

3461 Civic Center Blvd
Philadelphia, PA 19104-4302

Phone

(215) 823-4513

Fax

(215) 823-7806

NPI assigned

Aug 17, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740393388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 UNION RD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621851",
            "telephone_number": "215-823-4513",
            "fax_number": "215-823-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044302",
            "telephone_number": "215-823-4513",
            "fax_number": "215-823-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDGEON",
        "first_name": "DARLENE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP007283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teryn Pickett
• Amanda Renee Pickles, PA-C
• Maxwell William Pickles, MD
• Iresha Picot
• Anthony Picozzi, MD
• Lemuel Pidlaon, DDS
• Brogan Piecara, PA-C
• Piecestofit
• Darren F Piechota, MD
• Angela Piecyk

• Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.