Individual provider Active NPI

Kavita Sherpa Shrestha, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1851082416
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14857800 Issued in NJ
Practice address
41 Pickwick Dr
Marlton, NJ 08053-3823
Phone
(347) 832-6859
NPI assigned
May 16, 2023
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14857800 NJ Primary

Addresses

Primary practice location

41 Pickwick Dr
Marlton, NJ 08053-3823

Mailing address

41 Pickwick Dr
Marlton, NJ 08053-3823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230705000571 AL Practitioner - Nurse Practitioner 2769841022 Reassigns benefits to 1 organization
I20230726002887 NJ Practitioner - Nurse Practitioner 2769841022 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3626 Route 1 N
Princeton, NJ 08540-5922

3906 Church Rd
Mount Laurel, NJ 08054-1108

4055 Valley View LN
Suite 400
Dallas, TX 75244-4910

4055 Valley View LN
Suite 400
Dallas, TX 75244-5071

PO Box
Suite 95590
South Jordan, UT 84095-0590

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Jul 7, 2023 Accepting new patients
Kane Wound Care LLC CurrentSince Oct 1, 2024 Accepting new patients
Samaritan Homevisit Physicians PC CurrentSince Dec 9, 2023 Accepting new patients
Signify Health, LLC CurrentSince May 27, 2023 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

3906 Church Rd
Mount Laurel, NJ 08054
Phone (856) 222-3292

100 Mazdabrook Rd
#One
Parsippany, NJ 07054
Phone (732) 841-9338

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 650-7800

3626 US Highway 1
Princeton, NJ 08540
Phone (609) 243-0445

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1851082416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PICKWICK DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PICKWICK DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533823",
            "telephone_number": "347-832-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRESTHA",
        "first_name": "KAVITA",
        "middle_name": "SHERPA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14857800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.