Individual provider Active NPI

London M Pino, CRNP

  • Nurse Practitioner
  • Lansdale, PA
National Provider Identifier
1811499403
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP018560 Issued in PA
Practice address
1000 Walnut St Ste 122
Lansdale, PA 19446-1127
Phone
(215) 368-1950
NPI assigned
Feb 28, 2018
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP018560 PA Primary

Addresses

Primary practice location

1000 Walnut St Ste 122
Lansdale, PA 19446-1127

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795

Other practice location 1

721 Skippack Pike
Blue Bell, PA 19422-1700
Phone (267) 460-8802

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address london.pino@axia.eclinicaldirectplus.com Direct

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP018560PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc. Past Accepting new patients
Regional Women's Health Group, LLC Nurse Practitioner PastSince Jul 25, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: london.pino@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.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1811499403",
    "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": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WALNUT ST STE 122",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461127",
            "telephone_number": "215-368-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 Skippack Pike",
            "address_purpose": "LOCATION",
            "city": "Blue Bell",
            "state": "PA",
            "postal_code": "194221700",
            "country_code": "US",
            "telephone_number": "267-460-8802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINO",
        "first_name": "LONDON",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "london.pino@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Walnut St Ste 122",
            "city": "Lansdale",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194461127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.