Active NPI
Kira R Delong, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- SP012065
- Practice address
- 841 E Hunting Park Ave
Suite 201
Philadelphia, PA 19124-4800 - Phone
- (215) 537-7695
- Fax
- (215) 537-7001
- NPI assigned
- Apr 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | SP012065 | PA | Primary |
| Family Nurse Practitioner | 363LF0000X | SP012065 | PA |
Addresses
Primary practice location
841 E Hunting Park Ave
Suite 201
Philadelphia, PA 19124-4800
Mailing address
1412 Fairmount Ave
Philadelphia, PA 19130-2908
Phone (215) 599-4851
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kira.delong@direct.dvch.nextgenshare.com | Health Information Exchange (HIE) |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP012065 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Valley Community Health, Inc. | Current | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Current | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Past | Accepting new patients | |
| Delaware Valley Community Health, Inc. | Past | Accepting new patients |
Locations
1401 DeKalb St
Norristown, PA 19401
Phone (610) 275-9400
1412 Fairmount Ave
Philadelphia, PA 19130
Phone (215) 235-9600
841 E Hunting Park Ave
Ste 201
Philadelphia, PA 19124
Phone (215) 537-7695
1412 Fairmount Ave
#22
Philadelphia, PA 19130
400 W Allegheny Ave
Ste B5
Philadelphia, PA 19133
Phone (215) 207-0522
Interoperability endpoints
- kira.delong@direct.dvch.nextgenshare.com
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1386864502
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1235956921
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1285699686
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1689873911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1851657183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 FAIRMOUNT AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191302908",
"telephone_number": "215-599-4851",
"fax_number": "215-232-4093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 E HUNTING PARK AVE",
"address_2": "SUITE 201",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191244800",
"telephone_number": "215-537-7695",
"fax_number": "215-537-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELONG",
"first_name": "KIRA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "PA",
"license": "SP012065",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP012065",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kira.delong@direct.dvch.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "841 E Hunting Park Ave",
"address_2": "Suite 201",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191244800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.