Individual provider Active NPI

Erin Lindsay Bahmer, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1780308502
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP027069 Issued in PA
Practice address
255 S. 17TH Street
Suite 1010, 1500, 2304
Philadelphia, PA 19103-4605
Phone
(484) 440-9273
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010364 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP027069 PA Primary

Addresses

Primary practice location

255 S. 17TH Street
Suite 1010, 1500, 2304
Philadelphia, PA 19103-4605

Mailing address

1902 Maryland Ave
Wilmington, DE 19805-4605
Phone (302) 655-7108

Other practice location 1

1902A Maryland Ave
Wilmington, DE 19805-4605
Phone (302) 655-7108

Other names 1

  • Erin Lindsay Umland Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906002608 PA Practitioner - Nurse Practitioner 5092183368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

255 S 17TH St
Philadelphia, PA 19103-6231
Phone (610) 892-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Jul 22, 2023 Accepting new patients

Locations

1055 E Baltimore Pike
Ste 300
Media, PA 19063
Phone (253) 346-0020

510 Walnut St
Ste 1425
Philadelphia, PA 19106
Phone (412) 655-6480

255 S 17th St
Ste 1010
Philadelphia, PA 19103
Phone (215) 732-6308

255 S 17th St
Ste 2304
Philadelphia, PA 19103
Phone (267) 639-5901

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.erinbahmer@141748.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1780308502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 MARYLAND AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054605",
            "telephone_number": "302-655-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S. 17TH STREET",
            "address_2": "SUITE 1010, 1500, 2304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034605",
            "telephone_number": "484-440-9273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902A Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198054605",
            "country_code": "US",
            "telephone_number": "302-655-7108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHMER",
        "first_name": "ERIN",
        "middle_name": "LINDSAY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010364",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "UMLAND",
            "middle_name": "LINDSAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.