Kellyn O Bertolazzi, MSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN283246L Issued in PA

Practice address

2246 Bustard Rd
Lansdale, PA 19446-5717

Phone

(610) 308-1349

NPI assigned

Oct 21, 2024

Last updated

Oct 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1811718901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 1ST AVE",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061310",
            "telephone_number": "484-566-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 BUSTARD RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465717",
            "telephone_number": "610-308-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLAZZI",
        "first_name": "KELLYN",
        "middle_name": "O",
        "credential": "MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN283246L",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "PA",
            "license": "RN283246L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Benfield, MSN, CRNP
• Daniel F. Benonis
• Cynthia Marie Bergin, RPH
• Laurie Ellen Berman, M.S.
• Susan S Berrodin, DPT
• Kierstyn Rose Berube, LPC
• Better Options Healthcare LLC
• Darshan Bhatt
• Arnold Bierman, O.D.
• Mardi Tuttle Biernat, CHOM

• Registered Nurse in Lansdale, PA
• Providers in Lansdale, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.