Gradine Haberle, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN251585L Issued in PA

Practice address

420 Cowpath Rd
Souderton, PA 18964-2036

Phone

(267) 203-1500

NPI assigned

Jun 23, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Indian Creek Foundation

  • Community/Behavioral Health Agency
  • Souderton, PA
  • NPI 1023163854

  Licensed Practical Nurse

  NPD (past)

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1932337508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 SCHWENKSVILLE RD",
            "city": "SCHWENKSVILLE",
            "state": "PA",
            "postal_code": "194731960",
            "telephone_number": "610-287-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 COWPATH RD",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189642036",
            "telephone_number": "267-203-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERLE",
        "first_name": "GRADINE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN251585L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Greer, DPT
• Marie E Groncki, DMD
• David Brent Guengerich, D.M.D.
• Guidance for Growing, Inc.
• Guiding Light Christian Services LLC
• Nichole Haberle
• Brianna Cynthia Hampson
• Samantha Harbison, MS, OTR/L
• Howard Harpel, PHD
• Gina Harper

• Licensed Practical Nurse in Souderton, PA
• Providers in Souderton, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.