Active NPI
Nicole Kashner, PAC
- Physician Assistant
- East Stroudsburg, PA
National Provider Identifier
1790981058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA050859
- Practice address
- 300 E Brown St
East Stroudsburg, PA 18301-3007 - Phone
- (570) 476-2101
- Fax
- (570) 476-5646
- NPI assigned
- Jun 25, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA050859 | PA | Primary |
Addresses
Primary practice location
300 E Brown St
East Stroudsburg, PA 18301-3007
Mailing address
300 E Brown St
East Stroudsburg, PA 18301-3007
Phone (570) 476-2101
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA050859 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1790981058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E BROWN ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013007",
"telephone_number": "570-476-2101",
"fax_number": "570-476-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E BROWN ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013007",
"telephone_number": "570-476-2101",
"fax_number": "570-476-5646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASHNER",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA050859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.