Active NPI
Kristen Dalton, MSN RN CPNP-AC CPHON
- Pediatric Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP014472
- Practice address
- 34TH Street and Civic Center Boulevard
Philadelphia, PA 19104 - Phone
- (800) 879-2467
- NPI assigned
- Nov 20, 2014
- Last updated
- Nov 20, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP014472 | PA | Primary |
Addresses
Primary practice location
34TH Street and Civic Center Boulevard
Philadelphia, PA 19104
Mailing address
1925 Spruce St
Apt 4F
Philadelphia, PA 19103-5717
Phone (508) 364-2634
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
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP014472 | PA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care Associates | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| Childen's Health Care Associates Inc. | Current | Accepting new patients | |
| Childrens Health Care Associates of New Jersey PC | Past | Accepting new patients |
Locations
100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
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.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1598869059
-
dba CHCA Nurse Practitioners
- Pediatric Registered Nurse
- Philadelphia, PA
- NPI 1699860643
-
dba CHCA Palliative Care
- Pediatric Hospice and Palliative Medicine Physician
- Philadelphia, PA
- NPI 1528153574
-
dba Chca NJ
- Pediatrics Physician
- Voorhees, NJ
- NPI 1427152917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1851798854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 SPRUCE ST",
"address_2": "APT 4F",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191035717",
"telephone_number": "508-364-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34TH STREET AND CIVIC CENTER BOULEVARD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "800-879-2467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "KRISTEN",
"name_prefix": "Mrs.",
"credential": "MSN RN CPNP-AC CPHON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP014472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 20, 2014; 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.