Kingstree Group Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

L10030304 Issued in DE

Legal business name

KINGSTREE GROUP INC

Practice address

900 W Valley Rd Ste 300
Wayne, PA 19087-1852

Phone

(888) 853-6412

Fax

(888) 898-3857

NPI assigned

Jan 26, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia C Marra, RN,BSN

Title

Nurse Case Coordinator

Phone

(888) 853-6412

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Vallance, RN

  • Registered Nurse
  • Wayne, PA
  • NPI 1588109888
  NPD (past)

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

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359158400000",
    "number": "1780922732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HOLSTEIN CT",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197096811",
            "telephone_number": "888-898-3857",
            "fax_number": "888-898-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W VALLEY RD STE 300",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871852",
            "telephone_number": "888-853-6412",
            "fax_number": "888-898-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTREE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-26",
        "last_updated": "2013-01-26",
        "status": "A",
        "authorized_official_last_name": "MARRA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "NURSE CASE COORDINATOR",
        "authorized_official_telephone_number": "888-853-6412",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "DE",
            "license": "L10030304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE NURSING LICENSE",
            "identifier": "L10030304",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kidmunicate
• Kidnecting Potential LLC
• Courtney Kilian, LAT, ATC
• Clara Kim
• King of Prussia Family Wellness Center, PC
• Taissa Kira, M.AC., L.AC.
• Drew Kirschmann
• Amanda Rachel Koch, LPC
• Ann Marie Kolongowski-Diaddezio, MSPT
• Alexa Konrad, PA-C

• Exclusive Provider Organization in Wayne, PA
• Providers in Wayne, PA by specialty
• Exclusive Provider Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2013; 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.