Jaclyn Marie Timoney, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP015325 Issued in PA

Practice address

23 Bustleton Pike Ste 200
Feasterville Trevose, PA 19053-6446

Phone

(215) 938-3450

Fax

(215) 938-3829

NPI assigned

Dec 2, 2015

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• HR Physician Services

  dba HR Multispecialty Services

  • Obstetrics & Gynecology Physician
  • Meadowbrook, PA
  • NPI 1881696698
  Medicare reassignment NPD
• Temple Physicians Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1942444088
  Medicare reassignment NPD
• HR Physician Services

  dba Holland Medical Associates

  • Internal Medicine Physician
  • Feasterville, PA
  • NPI 1275533655
  NPD
• HR Physician Services

  dba Redeemer Health Infusion Therapy

  • Internal Medicine Physician
  • Huntingdon Valley, PA
  • NPI 1679450910
  NPD
• Temple Physician Inc.

  • Internal Medicine Physician
  • Feasterville Trevose, PA
  • NPI 1174497366
  NPD
• Temple Physicians Inc.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1013069194
  NPD
• HR Physician Services

  dba Occupational Health

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Meadowbrook, PA
  • NPI 1699775296
  NPD (past)
• Temple Physicians Inc

  • Family Medicine Physician
  • Flourtown, PA
  • NPI 1952642936
  NPD (past)

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1912372947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "address_2": "MEDICAL STAFF OFFICE 1ST FLR",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-3450",
            "fax_number": "215-938-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BUSTLETON PIKE STE 200",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536446",
            "telephone_number": "215-938-3450",
            "fax_number": "215-938-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMONEY",
        "first_name": "JACLYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2021-07-08",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temple Physician Inc.
• The Big Change Nutrition, LLC
• Alicia Theis, PTA
• Josiah Thompson
• Naomi Thompson
• Elizabeth Tirabasso
• Ademola Toriola, BSC
• Total Physical Therapy Inc
• Ryan Triglia, DO
• Trinity Health Mid-Atlantic Medical Group (St Mary Health Feasterville)

• Family Nurse Practitioner in Feasterville Trevose, PA
• Providers in Feasterville Trevose, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.

Verify at the official NPI Registry.