Active NPI
Dyan C O'Brien, CRNP
- Women's Health Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1780917641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- SP010331
- Practice address
- 700 Spruce St
Suit 200
Philadelphia, PA 19106-4022 - Phone
- (215) 829-3000
- NPI assigned
- Sep 10, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | SP010331 | PA | Primary |
Addresses
Primary practice location
700 Spruce St
Suit 200
Philadelphia, PA 19106-4022
Mailing address
700 Spruce St
Suite 200
Philadelphia, PA 19106-4022
Phone (215) 829-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients |
Locations
700 Spruce St
Ste 200
Philadelphia, PA 19106
Phone (215) 829-3525
800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1780917641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SPRUCE ST",
"address_2": "SUITE 200",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064022",
"telephone_number": "215-829-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SPRUCE ST",
"address_2": "SUIT 200",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064022",
"telephone_number": "215-829-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "DYAN",
"middle_name": "C",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP010331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.