Individual provider Active NPI

Patricia Ann Flynn, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1861866048
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015588 Issued in PA
Practice address
6815 Lawnton St
Philadelphia, PA 19128-2417
Phone
(267) 210-1623
NPI assigned
Nov 25, 2015
Last updated
Nov 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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 SP015588 PA Primary

Addresses

Primary practice location

6815 Lawnton St
Philadelphia, PA 19128-2417

Mailing address

6815 Lawnton St
Philadelphia, PA 19128-2417
Phone (267) 210-1623

Other names 1

  • Patricia Ann Saladik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160715000207 PA Practitioner - Nurse Practitioner 1254623044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Aug 10, 2021 Accepting new patients

Locations

L2540
Columbus, OH 43260

3485 Davisville Rd
Hatboro, PA 19040
Phone (215) 830-0400

3430 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-7171

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1861866048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 LAWNTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282417",
            "telephone_number": "267-210-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 LAWNTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282417",
            "telephone_number": "267-210-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "SALADIK",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.