Individual provider Active NPI

Jo Ann Louise Nicoteri, CRNP

  • Family Nurse Practitioner
  • Scranton, PA
National Provider Identifier
1750377602
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
VP000960-B Issued in PA
Practice address
1130 Mulberry St
University of Scranton Student Health Services
Scranton, PA 18510-2125
Phone
(570) 941-7667
Fax
(570) 941-4298
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X VP000960-B PA Primary

Addresses

Primary practice location

1130 Mulberry St
University of Scranton Student Health Services
Scranton, PA 18510-2125

Mailing address

119 Highland Ave
Clarks Summit, PA 18411-1574
Phone (570) 941-4345

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

LicenseStateTypeSpecialty
VP000960-BPAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750377602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HIGHLAND AVE",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111574",
            "telephone_number": "570-941-4345",
            "fax_number": "570-941-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 MULBERRY ST",
            "address_2": "UNIVERSITY OF SCRANTON STUDENT HEALTH SERVICES",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102125",
            "telephone_number": "570-941-7667",
            "fax_number": "570-941-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOTERI",
        "first_name": "JO ANN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "VP000960-B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.