Individual provider Active NPI

Desiree Tartar, CRNP

  • Family Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1902389877
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019165 Issued in PA
Practice address
1245 S Cedar Crest Blvd
Suite 201
Allentown, PA 18103-6267
Phone
(610) 402-4870
Fax
(610) 433-8791
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 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 SP019165 PA Primary

Addresses

Primary practice location

1245 S Cedar Crest Blvd
Suite 201
Allentown, PA 18103-6267

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-5337

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
I20180927001251 PA Practitioner - Nurse Practitioner 3779834965 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
Telehealth
Offers telehealth services
Group practices
Medical Imaging of Lehigh Valley PCGroup PAC ID 1557265212, 115 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 770-1606

1245 S Cedar Crest Blvd
201 LVPG Obstetrics and Gynecology
Allentown, PA 18103-6258
Phone (610) 402-4870

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
  • Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185
  • Lehigh Valley Hospital - Macungie Hospital, Macungie, PA, CCN 390430

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging of Lehigh Valley PC CurrentSince Nov 1, 2019 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 8, 2018 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 8, 2018 Accepting new patients
Lehigh Valley Diagnostic Imaging Past Accepting new patients
Scranton Hospitalist Physician Services LLC PastSince May 7, 2025 Accepting new patients

Locations (25 of 50)

798 Hausman Rd
Allentown, PA 18104
Phone (610) 530-1515

1240 S Cedar Crest Blvd
Ste 203
Allentown, PA 18103
Phone (610) 402-0690

1230 S Cedar Crest Blvd
Ste 103
Allentown, PA 18103
Phone (610) 402-4691

1220 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 740-0400

1243 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-9230

1250 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 435-1600

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1247 S Cedar Crest Blvd
Ste 102
Allentown, PA 18103
Phone (610) 402-1022

1245 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-4870

1230 S Cedar Crest Blvd
Ste 202
Allentown, PA 18103
Phone (610) 402-4691

4815 W Tilghman St
Allentown, PA 18104
Phone (610) 402-3903

1230 S Cedar Crest Blvd
Ste 104
Allentown, PA 18103
Phone (610) 402-1070

1255 S Cedar Crest Blvd
Ste 2500
Allentown, PA 18103
Phone 6103724957550

1255 S Cedar Crest Blvd
Ste 2600
Allentown, PA 18103

6649 Chrisphalt Dr
Bath, PA 18014
Phone (610) 837-3181

1770 Bathgate Rd
Ste 200
Bethlehem, PA 18017
Phone (484) 884-2249

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

1770 Bathgate Rd
Ste 100
Bethlehem, PA 18017
Phone (484) 884-1032

2101 Emrick Blvd
Bethlehem, PA 18020
Phone (484) 895-3300

2597 Schoenersville Rd
Ste 202
Bethlehem, PA 18017
Phone (484) 884-2460

5683 Route 115
Blakeslee, PA 18610
Phone (570) 355-7100

120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101

1592 Route 739
Dingmans Fry, PA 18328
Phone (570) 828-1900

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

Organizations & group practices 7

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1902389877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-5337",
            "fax_number": "484-884-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S CEDAR CREST BLVD",
            "address_2": "SUITE 201",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036267",
            "telephone_number": "610-402-4870",
            "fax_number": "610-433-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTAR",
        "first_name": "DESIREE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.