Individual provider Active NPI

Susan P Kronberger, LPN

  • Licensed Practical Nurse
  • Blue Bell, PA
National Provider Identifier
1801643697
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
283101 Issued in PA
Practice address
960A Harvest Dr
Blue Bell, PA 19422-1991
Phone
(215) 264-9291
Fax
(484) 550-7537
NPI assigned
May 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 283101 PA Primary

Addresses

Primary practice location

960A Harvest Dr
Blue Bell, PA 19422-1991

Mailing address

519 Ehret Rd
Fairless Hills, PA 19030-3621
Phone (215) 264-9291

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
283101PAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1801643697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 EHRET RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190303621",
            "telephone_number": "215-264-9291",
            "fax_number": "484-550-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960A HARVEST DR",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221991",
            "telephone_number": "215-264-9291",
            "fax_number": "484-550-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONBERGER",
        "first_name": "SUSAN",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "283101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.