Individual provider Active NPI

Lori Ann Mileto

  • Family Nurse Practitioner
  • Newtown Square, PA
National Provider Identifier
1891293981
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018473 Issued in PA
Practice address
2 Campus Blvd Ste 200
Newtown Square, PA 19073-3243
Phone
(610) 527-3800
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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 SP018473 PA Primary

Addresses

Primary practice location

2 Campus Blvd Ste 200
Newtown Square, PA 19073-3243

Mailing address

909 Noble Dr
Downingtown, PA 19335-4457
Phone (610) 805-4991

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
I20180323000730 PA Practitioner - Nurse Practitioner 8325300734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward Burnetta MD LLCGroup PAC ID 2668576265, 10 clinicians

Practice addresses (Care Compare)

2075 County Line Rd
Villanova, PA 19085-1732
Phone (610) 642-1413

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Burnetta MD LLC CurrentSince Jul 21, 2024 Accepting new patients
Bryn Mawr Medical Specialists Association CurrentSince Oct 30, 2023 Accepting new patients
Thi of Pennsylvania at Samaritan Hospice, LLC PastSince Feb 19, 2018 Accepting new patients

Locations

325 Sentry Pkwy
Ste 200
Blue Bell, PA 19422
Phone (646) 201-8091

50 N Malin Rd
Broomall, PA 19008
Phone (610) 356-0800

825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010
Phone (610) 524-3800

773 E Haverford Rd
Bryn Mawr, PA 19010
Phone (610) 525-8300

7310 Stenton Ave
Philadelphia, PA 19150
Phone (215) 242-2727

7800 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 722-2300

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1891293981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 NOBLE DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354457",
            "telephone_number": "610-805-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAMPUS BLVD STE 200",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733243",
            "telephone_number": "610-527-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILETO",
        "first_name": "LORI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

Verify at the official NPI Registry.