Individual provider Active NPI

Mary K Friedland, CRNP

  • Family Nurse Practitioner
  • Limerick, PA
National Provider Identifier
1861435281
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP008892 Issued in PA
Practice address
420 W Linfield Trappe Rd
Suite 100
Limerick, PA 19468-4278
Phone
(484) 938-4030
Fax
(484) 938-4040
NPI assigned
Jun 14, 2006
Last updated
Jun 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP008892 PA Primary
Registered Nurse 163W00000X RN257234L PA

Addresses

Primary practice location

420 W Linfield Trappe Rd
Suite 100
Limerick, PA 19468-4278

Mailing address

PO Box 525
Phoenixville, PA 19460-0525
Phone (484) 938-4030

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060726000243 PA Practitioner - Nurse Practitioner 7416960067 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN257234LPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Care Alternatives of Pennsylvania, LLC CurrentSince Sep 16, 2020 Accepting new patients

Locations

65 Jackson Dr
Ste 103
Cranford, NJ 07016
Phone (908) 931-9068

1120 Welsh Rd
Ste 220
North Wales, PA 19454
Phone (215) 542-2100

Organizations & group practices 1

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1861435281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194600525",
            "telephone_number": "484-938-4030",
            "fax_number": "484-938-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W LINFIELD TRAPPE RD",
            "address_2": "SUITE 100",
            "city": "LIMERICK",
            "state": "PA",
            "postal_code": "194684278",
            "telephone_number": "484-938-4030",
            "fax_number": "484-938-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLAND",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008892",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN257234L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Limerick, PA

Sources for this page

Verify at the official NPI Registry.