Individual provider Active NPI

Beth Damiano, APRN

  • Women's Health Nurse Practitioner
  • Strafford, PA
National Provider Identifier
1801400551
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP022417 Issued in PA
Practice address
85 Old Eagle School Rd
Strafford, PA 19087-2556
Phone
(610) 688-3744
NPI assigned
Sep 1, 2020
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP022417 PA Primary

Addresses

Primary practice location

85 Old Eagle School Rd
Strafford, PA 19087-2556

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (856) 669-6050

Other practice location 1

4 Industrial Blvd Ste 110
Paoli, PA 19301-1605
Phone (610) 647-1106

Other practice location 2

599 Arcola Rd Ste 106
Collegeville, PA 19426-3954
Phone (610) 454-7787

Other identifiers 1

IdentifierTypeStateIssuer
103843840MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address beth.damiano@axia.eclinicaldirectplus.com Direct

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
I20200916001375 PA Practitioner - Nurse Practitioner 1355769795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

495 Thomas Jones Way
RWHG Great Valley OB/GYN
Exton, PA 19341-2553
Phone (610) 280-3636

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022417PAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC CurrentSince Oct 1, 2020 Accepting new patients
Regional Women's Health Group, LLC PastSince Mar 21, 2021 Accepting new patients

Locations

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

599 Arcola Rd
Ste 106
Collegeville, PA 19426
Phone (610) 454-7787

495 Thomas Jones Way
Exton, PA 19341
Phone (610) 280-3636

4 Industrial Blvd
Ste 110
Paoli, PA 19301
Phone (610) 647-1106

85 Old Eagle School Rd
Wayne, PA 19087
Phone (610) 688-3744

Interoperability endpoints

  • Direct secure messaging: beth.damiano@axia.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1801400551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "856-669-6050",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 OLD EAGLE SCHOOL RD",
            "city": "STRAFFORD",
            "state": "PA",
            "postal_code": "190872556",
            "telephone_number": "610-688-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Industrial Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011605",
            "country_code": "US",
            "telephone_number": "610-647-1106",
            "fax_number": "610-640-0483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "599 Arcola Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Collegeville",
            "state": "PA",
            "postal_code": "194263954",
            "country_code": "US",
            "telephone_number": "610-454-7787",
            "fax_number": "610-409-6250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMIANO",
        "first_name": "BETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP022417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103843840",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beth.damiano@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "85 Old Eagle School Rd",
            "city": "Strafford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190872556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Strafford, PA

Sources for this page

Verify at the official NPI Registry.